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Active NPI 1003081258 Individual Practitioner Male Practitioner

Gary James Hackett , PA-C

Physician Assistant - Surgical • Crestview Hills, KY

Professional Overview & Biography Verified Profile Summary

Gary Hackett, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Crestview Hills, KY. Practice services are available at 2845 CHANCELLOR DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2845 Chancellor Dr

Crestview Hills, KY 410173418

Telephone 8594264200
Fax 8594264206
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Crestview Hills, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Crestview Hills, KY (121 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License KY PA1110

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100050170 (KY)
Commercial Insurance / Payer ID Railroad Medicare
CB8861 (KY)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Margaret Rawe , PT

Physical Therapist

NPI 1811995079

Physical Therapist

George Kondik , PA-C

Physician Assistant - Surgical

NPI 1861497661

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2014

Registered at 2845 CHANCELLOR DR, CRESTVIEW HILLS, KY 410173418 (Tel: 8594264200)

📍
Updated Business Mailing Address January 21, 2014

Registered at 560 S LOOP RD, EDGEWOOD, KY 410173405 (Tel: 8593012663)

👤
Provider Name / Credentials Updated January 21, 2014

Recorded as GARY HACKETT, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2014

Physician Assistant (License #PA1110 in KY)

🟢
Initial NPI Registration & Enumeration April 29, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003081258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2008
Last Update: January 21, 2014
Sole Proprietor: No

Mailing Address

560 S Loop Rd

Edgewood, KY 410173405

Phone: 8593012663

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.