WILLIAM DOUGLAS HACKER (NPI# 1417334103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417334103 |
| Entity Type | Individual |
| Full Name | WILLIAM DOUGLAS HACKER |
| Practice Address |
4856 Pleasant Grove Road Lexington KY 40515 |
| Practice Telephone | 8592453726 |
| Practice Fax Number | 8592456083 |
| Mailing Telephone | 8592453726 |
| Mailing Fax Number | 8592456083 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 16824 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
4856 PLEASANT GROVE ROAD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699620 | Cassandra Grace Reynolds | Occupational Therapy Assistant | 3900 Crosby Dr Apt 102, Lexington, KY 40515 | 2017-10-04 |
| 1447793401 | Audrey Mccall Logan | Counselor | 3479 Buckhorn Drive, Ste 106, Lexington, KY 40515 | 2016-11-23 |
| 1043760465 | Mary Lauren Elizabeth Willis | Pharmacist | 4251 Mooncoin Way, Lexington, KY 40515 | 2016-10-10 |
| 1528480340 | Frances Ann Cook | Psychologist | 4105 Heartwood Rd, Lexington, KY 40515 | 2014-01-14 |
| 1245574532 | Patricia H Woodruff | Nurse Practitioner | 3030 Brookmonte Ln, Lexington, KY 40515 | 2012-11-27 |
| 1225381064 | Tiffany Kruger | Physical Therapist | 1092 Duval St Ste 210, Lexington, KY 40515 | 2012-10-17 |
| 1356698203 | Jessika Cordell Vance-morgan | Behavioral Analyst | 945 Darda Ct, Lexington, KY 40515 | 2012-08-09 |
| 1285915363 | Southern Office Solutions | Specialist | 5060 Ivybridge Dr., Lexington, KY 40515 | 2011-09-02 |
| 1578794426 | Emilie Carter | Social Worker | 1096 Duval St Ste 140, Lexington, KY 40515 | 2009-07-27 |
| 1881828002 | Duval Surgical Services Inc | Nurse Practitioner | 3768 Kencsaw Drive, Lexington, KY 40515 | 2009-05-04 |
| Find all providers in zip 40515 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
| 1497117667 | Frances Michelle Curran | Pediatrics | 800 Rose St Rm Mn-118, Lexington, KY 40536-0298 | 2016-03-25 |
| 1073995908 | John Stone | Pediatrics | Pediatric Residency Program Uk 800 Rose St, Mn472, Lexington, KY 40536-0293 | 2015-06-27 |
| 1346621042 | Nina Azer Salfity | Pediatrics | 800 Rose St Rm Mn-472, Lexington, KY 40536-0293 | 2015-06-18 |
| 1235525957 | Carl Wayne Dowden | Pediatrics | 740 S Limestone Ste J201, Lexington, KY 40536-7001 | 2015-04-09 |
| 1861808271 | Rucha Shukla | Pediatrics | 138 Leader Ave Rm 9a, Lexington, KY 40508 | 2014-07-07 |
| 1184030983 | Anna Caitlynn Iddings | Pediatrics | 800 Rose Street Mn118, Lexington, KY 40536-0001 | 2014-07-01 |
| 1649684069 | Rhea Vidrine | Pediatrics | 800 Rose St 4th Floor, Lexington, KY 40536-0293 | 2014-06-13 |
| Find all providers in LEXINGTON | ||||
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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.