ANISSA HARGIS PA-C NPI 1467450858

NPI Information

NPI: 1467450858
Provider Name: ANISSA HARGIS, PA-C
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
301 C MIDDLETON PARK PL
LOUISVILLE, KY
ZIP 40243
Phone: (502) 244-9858
Get Directions

Anissa Hargis, PA-C is an adolescent medicine pediatrics in Louisville, KY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Anissa Hargis, PA-C NPI is 1467450858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

301 C MIDDLETON PARK PL
LOUISVILLE, KY
ZIP 40243
Phone: (502) 244-9858
Fax: (502) 244-9575

The enumeration date for this NPI number is 7/11/2005 and was last updated on 6/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA 353	KENTUCKY	No
2	2080A0000X	Pediatrics	Adolescent Medicine	PA353	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0789302	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
2	000000246339	OTHER	KENTUCKY	ANTHEM
3	789302	MEDICARE PIN
4	Q00916	MEDICARE UPIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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