ROBERT D HAZARD (NPI# 1912973116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912973116 |
| Entity Type | Individual |
| Full Name | ROBERT D HAZARD |
| Credential | PA C |
| Practice Address |
150 Fairview Court Eminence KY 40019 |
| Mailing Address |
515 Hospital Drive Suite 1 Shelbyville KY 40065 |
| Practice Telephone | 5028455672 |
| Practice Fax Number | 5028451402 |
| Mailing Telephone | 5026333525 |
| Mailing Fax Number | 5026339991 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA914 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7023760 | 01 | |
| KY | ANTHEM | 000000386715 | 01 |
| Street Address |
150 FAIRVIEW COURT |
| City | EMINENCE |
| State | KY |
| Zip Code | 40019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710976352 | Kenneth A. Gardner | Family Medicine | 150 Fairview Court, Eminence, KY 40019 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154693141 | Tessa D. Marie Puckett | Physical Therapist | 151 E Broadway St Ste B, Eminence, KY 40019 | 2012-02-06 |
| 1851434765 | Tim J Lee | Chiropractor | 4667 North Main St, Eminence, KY 40019 | 2007-02-14 |
| 1679539449 | Henry County County Treasurer | Ambulance | 716 S Property Rd, Eminence, KY 40019 | 2006-04-21 |
| 1831503358 | Erica Ryan Sparks | Dentist | 105 Eminence Ter, Eminence, KY 40019 | 2014-06-12 |
| 1952722449 | Henry Pharmacist Group, LLC | Durable Medical Equipment & Medical Supplies | 5551 S Main St, Eminence, KY 40019 | 2013-12-30 |
| 1578903142 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4894 N Main St, Eminence, KY 40019-1018 | 2013-06-27 |
| 1568503704 | Cupp Chiropractic Center, Inc | Chiropractor | 4824 N Main St, Eminence, KY 40019-1018 | 2007-02-09 |
| 1497896294 | Bruce Frederick Cupp | Chiropractor | 4824 N Main St, Eminence, KY 40019-1018 | 2007-02-12 |
| 1568696847 | Lee Family Chiropractic, Pllc | Chiropractor | 4667 N Main St, Eminence, KY 40019-1019 | 2009-05-14 |
| 1891721205 | Cooks Pharmacy Inc | Pharmacy | 42 S Penn Ave, Eminence, KY 40019-1036 | 2006-06-25 |
| Find all providers in zip 40019 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447249248 | Georgia P Harrod | Physician Assistant | 150 Fairview Ct, Eminence, KY 40019-1158 | 2005-10-14 |
| 1528163995 | Christopher J. Cooper | Physician Assistant | 151 E Broadway St, Eminence, KY 40019-1149 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| 1215535257 | Melissa Lee Amos | Physician Assistant | 3543 Providence Trace Dr, Melbourne, KY 41059-9203 | 2020-10-12 |
| 1780282095 | Alison Deanne Power | Physician Assistant | 3209 Keithshire Way, Lexington, KY 40503-3481 | 2020-10-09 |
| 1225635691 | Mark Douglas Crawford II | Physician Assistant | 1288 Wyan Rd, London, KY 40744-9052 | 2020-10-07 |
| 1114524188 | Dustin Scott Ammerman | Physician Assistant | 682 Reed Rd, London, KY 40741-8662 | 2020-10-02 |
| 1588270110 | Reid Van Bussum | Physician Assistant | 913 Fiddler Creek Way, Lexington, KY 40515-6460 | 2020-09-18 |
| 1568077808 | Breanna Larae Damron | Physician Assistant | 1128 Ramey Ave, Worthington, KY 41183-9229 | 2020-09-14 |
| 1477168169 | Eleshia Stephenie Sumner | Physician Assistant | 252 Sargent Rd, Pine Knot, KY 42635 | 2020-09-10 |
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1902417389 | Kassandra Nicole Neltner | Physician Assistant | 2720 Marlo Way, Lakeside Park, KY 41017-2149 | 2020-08-11 |
| 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.