Prabodh M Mehta (NPI# 1982606604, PAC ID# 3971497454) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
Nation Provider ID (NPI) | 1982606604 |
PAC ID by PECOS | 3971497454 |
Professional Enrollment ID | I20080513000497 |
Full Name | Prabodh M Mehta |
Organization Legal Name | EKG PSC |
Address |
913 N Dixie Ave Elizabethtown KY 42701-2503 |
Phone Number | 2707371212 |
Gender | M |
Graduation Year | 1977 |
Primary Specialty | INTERVENTIONAL CARDIOLOGY |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 8224000989 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180012 | HARDIN MEMORIAL HOSPITAL |
180070 | TWIN LAKES REGIONAL MEDICAL CENTER |
180087 | TAYLOR REGIONAL HOSPITAL |
181319 | BRECKINRIDGE MEMORIAL HOSPITAL |
181325 | JANE TODD CRAWFORD HOSPITAL |
Address | Phone | Organization |
---|---|---|
1310 Woodland Dr, Elizabethtown, KY 42701-2651 | 2707061918 | HARDIN PROFESSIONAL SERVICES, LLC |
1700 Ring Rd, Elizabethtown, KY 42701-9497 | 2707695551 | HARDIN PROFESSIONAL SERVICES, LLC |
913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2707371212 | EKG PSC |
913 N Dixie Ave, Elizabethtown, KY 42701-2503 | HARDIN PROFESSIONAL SERVICES, LLC |
Organization Legal Name | EKG PSC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
John R Holt | Cardiovascular Disease (cardiology) | Ekg Psc | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
Joseph Valayam | Cardiovascular Disease (cardiology) | Ekg Psc | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
Amar M Desai | Interventional Cardiology | Ekg Psc | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
Street Address |
913 N DIXIE AVE |
City | ELIZABETHTOWN |
State | KY |
Zip | 42701-2503 |
Name | Specialty | Organization | Address |
---|---|---|---|
John A Godfrey | Internal Medicine | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
Angela Ballard | Nurse Practitioner | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
Sidney M Verble | Pathology | Heartland Pathology Consultants Psc | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
David L Yerkes | Family Medicine | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
Joseph A Stone | Emergency Medicine | Elizabethtown Emergency Physicians, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
Erik E Dowden | Diagnostic Radiology | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
Mary Alice Brown | Physician Assistant | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
Russell L Mckinley | Podiatry | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
Erin B Bryant | Nurse Practitioner | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
Derhonda M Thompson | Nurse Practitioner | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Donna J Wilson | Clinical Social Worker | 921 N Main St, Elizabethtown, KY 42701-1256 | |
Lela S Dunn | Psychologist, Clinical | Elizabethtown Partner's In Counseling Inc | 204 N Main St, Elizabethtown, KY 42701-1417 |
Rhonda A Shircliff | Nurse Practitioner | Elizabethtown Partner's In Counseling Inc | 204 N Main St, Elizabethtown, KY 42701-1417 |
Debra L Johnson | Nurse Practitioner | Advanced Behavioral Health Pllc | 110 Helm St, Elizabethtown, KY 42701-1496 |
Alicia Karam | Nurse Practitioner | Advanced Behavioral Health Pllc | 110 Helm St, Elizabethtown, KY 42701-1496 |
Nicholas L Watters | Psychologist, Clinical | 240 W Dixie Ave, Suite 5b, Elizabethtown, KY 42701-1586 | |
Kimberly D Tully | Clinical Social Worker | 240 W Dixie Ave, Suite 5 B, Elizabethtown, KY 42701-1586 | |
Katie V Barnett | Anesthesiology | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
Price R Richardson | Certified Registered Nurse Anesthetist (crna) | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
Tracy L Dupree | Certified Registered Nurse Anesthetist (crna) | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
Find all physicians in zip 42701 |
City | ELIZABETHTOWN |
Zip Code | 42701 |
Specialty | INTERVENTIONAL CARDIOLOGY |
City + Specialty | ELIZABETHTOWN + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Prabodh M Mehta.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.