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Physician Compare National (NPI:1063404481)

HEALTHCARE PROVIDER: HAROLD HELTON JR. M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1063404481
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5799753687
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040920000031
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HELTON
Individual professional last name
Provider First Name HAROLD
Individual professional first name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1996
Individual professional's medical school graduation year
Primary Specialty NEPHROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 104 HARDIN LN
Group Practice or individual's line 1 address
Line 2 Street Address SUITE A
Group Practice or individual's line 2 address
City SOMERSET
Group Practice or individual's city
State KY
Group Practice or individual's state
Zip Code 425033800
Group Practice or individual's zip code (9 digits when available)
Phone Number 6066782063
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 180132
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 LAKE CUMBERLAND REGIONAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 180080
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 BAPTIST HEALTH CORBIN
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 181321
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 WAYNE COUNTY HOSPITAL
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 180106
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 CLINTON COUNTY HOSPITAL, INC
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 181330
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 RUSSELL COUNTY HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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