NPIMap

Organization Active NPI

Pennyrile Urology PSC

  • Urology Physician
  • Hopkinsville, KY
National Provider Identifier
1992729529
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
PENNYRILE UROLOGY PSC
Practice address
219 W 17TH St
Hopkinsville, KY 42240-1911
Phone
(270) 886-5141
Fax
(270) 885-1877
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hugh K Dougherty, MD
Title
Partner
Phone
(270) 886-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

219 W 17TH St
Hopkinsville, KY 42240-1911

Mailing address

219 W 17TH St
Hopkinsville, KY 42240-1911
Phone (270) 886-5141

Other identifiers 1

IdentifierTypeStateIssuer
65910036MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1992729529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W 17TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401911",
            "telephone_number": "270-886-5141",
            "fax_number": "270-885-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W 17TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401911",
            "telephone_number": "270-886-5141",
            "fax_number": "270-885-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNYRILE UROLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "270-886-5141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65910036",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.