Active NPI 1922077460 Individual Practitioner Male Practitioner

Dr. William H Boykin , MD

Urology • Ashland, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Boykin, MD is a certified Urology practicing in Ashland, KY. With approximately 43 years of clinical experience since graduating from Emory University School Of Medicine in 1983, Dr. Boykin delivers high-quality medical care to the local community at 336 29TH ST.

Dr. Boykin is affiliated with Kings Daughters Medical Specialties Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

336 29th St

Ashland, KY 411011900

Telephone 6063244404

Fax 6063256822

Associated Practice Facility / Clinic

🏢 Urology Center Of Northeastern Ky Facility NPI 1407898877

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Ashland, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +17.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Ashland, KY (180 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boykin (43 Years) 43 Yrs

Ashland Specialty Average (25.5 Years) 25.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	332	225	$160.96	$94.55
81003 Automated urinalysis test	322	216	$7.00	$2.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	199	79	$190.00	$73.20
52000 Diagnostic exam of bladder and urethra using an endoscope	112	100	$229.00	$72.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$270.14	$127.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	64	$313.00	$121.89
51798 Ultrasound measurement of bladder capacity after voiding	41	40	$28.00	$9.55
52332 Insertion of stent in urinary duct (ureter) using an endoscope	33	26	$466.67	$122.33
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	28	26	$429.00	$140.14
76872 Ultrasound scan of pelvic region through rectum	17	17	$93.00	$30.35
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	15	$1247.29	$377.85
55700 Biopsy of prostate gland	15	15	$370.00	$117.14
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$99.82	$65.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	463	279	$8.13	$2.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	399	239	$260.00	$118.25
51798 Ultrasound measurement of bladder capacity after voiding	335	220	$41.11	$9.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	207	86	$166.19	$73.46
52000 Diagnostic exam of bladder and urethra using an endoscope	97	80	$289.87	$72.01
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	96	11	$532.50	$170.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$373.00	$153.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	61	$289.10	$123.55
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	31	30	$426.26	$138.61
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$198.00	$83.13
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	23	$518.15	$112.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	12	$85.88	$47.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$397.32	$164.86
76872 Ultrasound scan of pelvic region through rectum	22	22	$94.27	$30.74
50590 Shock wave crushing of kidney stones	15	14	$1702.53	$552.28
55700 Biopsy of prostate gland	14	14	$384.93	$117.91
51741 Electronic assessment of bladder emptying	12	12	$38.00	$4.35
51797 Insertion of device into abdomen with pressure and urine flow rate study	11	11	$112.91	$37.59
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	11	11	$368.82	$17.52
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	11	11	$296.45	$97.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	521	289	$9.00	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	388	222	$260.00	$118.50
51798 Ultrasound measurement of bladder capacity after voiding	303	197	$51.00	$9.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	144	65	$134.00	$68.07
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	126	13	$547.00	$172.81
52000 Diagnostic exam of bladder and urethra using an endoscope	110	105	$352.80	$75.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$373.00	$158.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	76	74	$256.00	$128.97
99213 Established patient office or other outpatient visit, typically 15 minutes	66	57	$198.00	$85.37
76872 Ultrasound scan of pelvic region through rectum	27	27	$95.00	$31.54
55700 Biopsy of prostate gland	23	23	$389.00	$124.15
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	21	13	$88.00	$30.20
52287 Exam with injections of chemical for destruction of bladder using an endoscope	19	16	$472.00	$161.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	14	$458.11	$106.35
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	13	$424.00	$143.89
50590 Shock wave crushing of kidney stones	13	13	$1580.00	$543.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	529	320	$9.00	$2.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	349	221	$260.00	$122.67
51798 Ultrasound measurement of bladder capacity after voiding	331	228	$51.00	$9.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	209	97	$134.00	$68.59
52000 Diagnostic exam of bladder and urethra using an endoscope	130	122	$352.00	$76.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$373.00	$160.18
99213 Established patient office or other outpatient visit, typically 15 minutes	71	61	$198.00	$86.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	56	$256.00	$128.87
52332 Insertion of stent in urinary duct (ureter) using an endoscope	33	27	$473.45	$105.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	27	$335.00	$172.63
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	29	26	$424.00	$146.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$484.00	$205.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	25	$376.00	$192.55
55700 Biopsy of prostate gland	23	22	$389.00	$119.31
76872 Ultrasound scan of pelvic region through rectum	20	20	$95.00	$30.89
52005 Insertion of tube into ureter using an endoscope through bladder area	16	16	$371.00	$122.84
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	15	15	$1013.00	$311.56
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$2355.00	$706.34
52281 Dilation of bladder canal (urethra) using an endoscope	13	11	$426.00	$146.44
52287 Exam with injections of chemical for destruction of bladder using an endoscope	11	11	$472.00	$164.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	500	319	$9.00	$2.23
99213 Established patient office or other outpatient visit, typically 15 minutes	415	280	$198.00	$71.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	208	76	$134.00	$70.63
51798 Ultrasound measurement of bladder capacity after voiding	194	153	$51.00	$9.20
52000 Diagnostic exam of bladder and urethra using an endoscope	119	108	$352.00	$78.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	63	$256.00	$132.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$246.00	$102.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$373.00	$155.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	12	$70.00	$13.44
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	43	21	$527.00	$52.10
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	36	11	$180.00	$50.78
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	30	30	$424.00	$143.30
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	28	$94.00	$31.56
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	25	$480.50	$101.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$260.00	$103.98
55700 Biopsy of prostate gland	26	26	$389.00	$128.13
76872 Ultrasound scan of pelvic region through rectum	24	24	$95.00	$33.29
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	21	20	$1109.48	$248.95
50590 Shock wave crushing of kidney stones	17	16	$1580.00	$546.98
51741 Electronic assessment of bladder emptying	16	16	$43.00	$6.86
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	16	16	$859.00	$326.19
51797 Insertion of device into abdomen with pressure and urine flow rate study	16	16	$307.00	$149.58
51700 Simple bladder irrigation and/or instillation	13	12	$124.00	$70.40
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	11	11	$675.00	$200.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	827	502	$9.00	$2.42
99213 Established patient office or other outpatient visit, typically 15 minutes	694	452	$198.00	$68.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	225	97	$134.00	$69.19
51798 Ultrasound measurement of bladder capacity after voiding	170	149	$51.00	$11.23
52000 Diagnostic exam of bladder and urethra using an endoscope	161	136	$352.00	$77.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	106	100	$256.00	$129.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$246.00	$101.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	90	12	$70.00	$15.27
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	76	23	$527.00	$56.23
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	76	11	$547.00	$216.34
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	53	24	$103.00	$20.41
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	44	14	$180.00	$59.45
51700 Simple bladder irrigation and/or instillation	39	31	$124.00	$66.59
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	34	31	$94.00	$30.54
76872 Ultrasound scan of pelvic region through rectum	31	31	$95.00	$31.80
55700 Biopsy of prostate gland	31	31	$389.00	$123.07
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	29	28	$424.00	$148.08
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	23	$452.08	$107.52
51741 Electronic assessment of bladder emptying	18	18	$43.00	$7.11
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	18	12	$88.00	$26.98
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	17	17	$859.00	$306.69
51797 Insertion of device into abdomen with pressure and urine flow rate study	17	17	$307.00	$126.56
50590 Shock wave crushing of kidney stones	15	15	$1580.00	$553.01
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	15	14	$1013.00	$228.89
52005 Insertion of tube into ureter using an endoscope through bladder area	15	15	$371.00	$107.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$373.00	$146.90
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	14	14	$675.00	$222.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$260.00	$96.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	684	454	$8.80	$2.70
99213 Established patient office or other outpatient visit, typically 15 minutes	576	395	$192.51	$65.75
51798 Ultrasound measurement of bladder capacity after voiding	156	133	$50.17	$13.57
52000 Diagnostic exam of bladder and urethra using an endoscope	153	131	$352.00	$76.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	146	76	$134.80	$67.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	101	18	$68.33	$18.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$246.00	$96.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	67	$261.21	$124.24
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	66	11	$559.33	$212.79
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	57	28	$515.70	$48.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	47	21	$88.45	$19.08
52332 Insertion of stent in urinary duct (ureter) using an endoscope	40	33	$482.95	$108.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$375.65	$149.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$388.33	$184.41
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	26	25	$814.08	$282.27
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	26	24	$424.00	$143.67
52005 Insertion of tube into ureter using an endoscope through bladder area	26	23	$371.00	$80.07
51797 Insertion of device into abdomen with pressure and urine flow rate study	25	25	$298.20	$100.77
51741 Electronic assessment of bladder emptying	23	22	$42.39	$7.12
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	19	18	$1004.89	$252.51
51700 Simple bladder irrigation and/or instillation	19	15	$138.11	$65.92
76872 Ultrasound scan of pelvic region through rectum	18	18	$95.00	$31.83
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$94.00	$30.51
52287 Exam with injections of chemical for destruction of bladder using an endoscope	16	11	$472.00	$160.63
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	16	11	$83.00	$26.91
55700 Biopsy of prostate gland	15	15	$389.00	$120.20
52000 Diagnostic exam of bladder and urethra using an endoscope	14	14	$466.00	$145.69
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$198.00	$47.75
50590 Shock wave crushing of kidney stones	12	11	$1580.00	$536.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,650	17	$0.43	$0.12
J0585 Injection, onabotulinumtoxina, 1 unit	1,600	13	$14.00	$5.89
81003 Automated urinalysis test	1,583	701	$8.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	1,245	641	$170.00	$63.12
51798 Ultrasound measurement of bladder capacity after voiding	335	244	$41.00	$15.84
52000 Diagnostic exam of bladder and urethra using an endoscope	173	149	$466.00	$141.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	161	27	$57.00	$21.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	143	59	$173.00	$64.16
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	124	13	$584.00	$207.37
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	104	33	$46.00	$17.25
74176 Ct scan of abdomen and pelvis without contrast	98	81	$496.00	$91.70
J0696 Injection, ceftriaxone sodium, per 250 mg	96	13	$2.00	$0.64
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	96	29	$435.00	$50.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$388.00	$144.10
74000 X-ray of abdomen, single view	60	57	$57.00	$11.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	56	$487.00	$178.38
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	55	17	$149.00	$55.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	45	$251.00	$93.62
52332 Insertion of stent in urinary duct (ureter) using an endoscope	42	35	$1090.00	$90.62
51700 Simple bladder irrigation and/or instillation	33	22	$191.00	$62.36
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	13	$72.00	$27.37
52005 Insertion of tube into ureter using an endoscope through bladder area	25	24	$600.00	$65.31
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	24	23	$558.00	$200.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$330.00	$122.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$251.00	$94.26
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	18	$169.00	$52.22
76872 Ultrasound scan of pelvic region through rectum	22	18	$212.00	$81.04
51797 Insertion of device into abdomen with pressure and urine flow rate study	22	21	$252.00	$91.61
76770 Complete ultrasound scan behind abdominal cavity	21	19	$212.00	$63.20
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	21	20	$567.00	$256.57
76376 3d radiographic procedure	20	19	$28.00	$10.99
50590 Shock wave crushing of kidney stones	18	18	$1361.00	$512.18
55700 Biopsy of prostate gland	18	17	$504.00	$214.00
51741 Electronic assessment of bladder emptying	17	16	$36.00	$6.91
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	17	17	$561.00	$195.29
74178 Ct scan of abdomen and pelvis before and after contrast	16	15	$853.00	$205.72
52287 Exam with injections of chemical for destruction of bladder using an endoscope	15	13	$711.00	$269.26
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	15	15	$859.00	$294.35
57288 Creation of sling around bladder canal (urethra) to control leakage	11	11	$1722.00	$580.21

Medical Specialties & State Licenses

CMS Verified: 2021-11-18

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License KY 36702

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64037641 (KY)

Hospital & Practice Group Affiliations

Kings Daughters Medical Specialties Inc

336 29th St, Ashland, KY 411011900

Phone: 6063264404

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Justin Dixon , MD

Urology

NPI 1013182443

Doctor of Medicine (M.D.)

Dr. Timothy Dixon , MD

Urology

NPI 1225026438

Doctor of Medicine (M.D.)

Dr. Daniel Hettel , MD

Urology

NPI 1285124636

Doctor of Medicine (M.D.)

Dr. Julie Mallin , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1376042499

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Dr. Jeremy Bonzo , MD

Urology

NPI 1447511332

Doctor of Medicine (M.D.)

William Thorndyke , MDCM FRCS

Urology

NPI 1477550416

MDCMFRCS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address November 18, 2021

Registered at PO BOX 2379, ASHLAND, KY 411052379 (Tel: 6064086200)

✅

NPI Profile Active March 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2015

Registered at 336 29TH ST, ASHLAND, KY 411011900 (Tel: 6063244404)

📍

Updated Business Mailing Address March 16, 2015

Registered at 336 29TH ST, ASHLAND, KY 411011900 (Tel: 6063244404)

👤

Provider Name / Credentials Updated March 16, 2015

Recorded as WILLIAM BOYKIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2015

Urology (License #36702 in KY)

🟢

Initial NPI Registration & Enumeration March 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922077460

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 16, 2006

Last Update: November 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2379

Ashland, KY 411052379

Phone: 6064086200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.