DR. RAYMOND ALLEN HACKETT (NPI# 1528173325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528173325 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND ALLEN HACKETT |
| Credential | M.D. |
| Practice Address |
140 Bryan Blvd Corbin KY 40701-2775 |
| Mailing Address |
Po Box 1325 Corbin KY 40702-1325 |
| Practice Telephone | 6065281172 |
| Practice Fax Number | 6065287169 |
| Mailing Telephone | 6065268131 |
| Mailing Fax Number | 6065288661 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 45767 | KY | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 30657 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA PRIMARY | 1900010 | 01 | |
| MN | RAILROAD MEDICARE | 340004898 | 01 |
| WI | 34603700 | 05 | |
| HEALTHPARTNERS | HP13441 | 01 | |
| KY | RR MEDICARE | P01427472 | 01 |
| BLUE CROSS | 06173HA | 01 | |
| UCARE | 101379C118 | 01 | |
| KY | 7100228250 | 05 | |
| MN | 084583300 | 05 | |
| MEDICA | 1912600 | 01 | |
| WAUSAU | A06082 | 01 | |
| PREFERRED ONE | 961240267002 | 01 |
| Street Address |
140 BRYAN BLVD |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-2775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073599056 | Barbourville Family Health Center | Family Medicine | 140 Bryan Blvd, Corbin, KY 40701-2775 | 2005-12-21 |
| 1649576562 | Shannon D. Bunch | Nurse Practitioner | 140 Bryan Blvd, Corbin, KY 40701-2775 | 2011-02-10 |
| 1366689895 | Lisa F Clark | Counselor | 140 Bryan Blvd, Corbin, KY 40701-2775 | 2009-01-21 |
| 1588813083 | Crystal Prewitt | Nurse Practitioner | 140 Bryan Blvd, Corbin, KY 40701-2775 | 2008-09-09 |
| 1194704049 | Roberta Lee Pool | Nurse Practitioner | 140 Bryan Blvd, Corbin, KY 40701-2775 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295709871 | Christopher P Steidle | Urology | 60 Bryan Blvd, Corbin, KY 40701 | 2006-02-13 |
| 1013094440 | Commonwealth Urology, Psc | Urology | 1 Trillium Way, Ground Floor Entrance 5, Corbin, KY 40701-8426 | 2006-11-01 |
| 1447213483 | Baptist Healthcare System Inc. | Urology | 1 Trillium Way, Corbin, KY 40701 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874463 | Zeus Urological Services Southeast Kentucky Urology | Urology | 123 N 19th St Ste 203, Middlesboro, KY 40965-2865 | 2019-01-07 |
| 1124559190 | Nadia Gabriela Romero | Urology | 800 Rose St Rm Mn-283, Lexington, KY 40536 | 2017-03-22 |
| 1700297728 | Ahmed Haddad | Urology | 401 East Chestnut Street, #480, Louisville, KY 40202-9110 | 2014-05-13 |
| 1831533843 | Andrew Todd | Urology | 793 Eastern Byp Ste 101, Richmond, KY 40475-2425 | 2013-04-20 |
| 1053656991 | Baptist Health Richmond, Inc. | Urology | 1013 Center Drive, #5, Richmond, KY 40475-2407 | 2012-12-04 |
| 1962757187 | Daniel James Warburton | Urology | 1301 Pleasant Valley Rd Ste 302, Owensboro, KY 42303-9774 | 2012-07-14 |
| 1184915373 | Kellen Bo Yung Choi | Urology | 401 E Chestnut St Unit 480, Louisville, KY 40202-5704 | 2011-04-22 |
| 1922397033 | Alison Marie Rasper | Urology | Uk Urology 740 S Limestone Ste B200, Lexington, KY 40536-1522 | 2011-03-30 |
| 1699084731 | Lexington Unique Care Inc | Urology | 2628 Wilhite Dr, Lexington, KY 40503 | 2010-10-06 |
| 1659691053 | Ali Mahmoud Ziada | Urology | Urology Univ of Ky Med Ctr 800 Rose St, Room Ms 237, Lexington, KY 40536-0298 | 2010-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.