HKD TREATMENT OPTIONS PC - NPI NUMBER 1033476338

Summary

Provider Name: HKD TREATMENT OPTIONS PC

NPI Number: 1033476338

Clasification: Internal Medicine (207RA0401X)

Specialization: Addiction Medicine

Address:
99 MARKET ST
LOWELL, MA
ZIP 01852

Phone Number: (978) 710-9877



Detailed Information

HKD TREATMENT OPTIONS PC is an addiction medicine internist in Lowell, MA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. The assigned NPI number for this provider is 1033476338 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

99 MARKET ST
LOWELL, MA
ZIP 01852-807
Phone: (978) 710-9877
Fax: (978) 225-0932

The provider's authorized official is Hung K Do .
The authorized official title is President and has the following contact phone number (508) 238-8646.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 4/12/2012.

Map - Location of Practice

Taxonomy Codes

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 207RA0401X Internal Medicine Addiction Medicine Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1033476338 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name HKD TREATMENT OPTIONS PC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 99 MARKET ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name LOWELL The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name MA The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 018521807 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 9787109877 The telephone number associated with the location address of the provider being identified.
11 Provider Business Practice Location Address Fax Number 9782250932 The fax number associated with the location address of the provider being identified.
12 Provider Enumeration Date 4/12/2012 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 4/12/2012 The date that a record was last updated or changed.
14 Authorized Official Last Name DO The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
15 Authorized Official First Name HUNG The first name of the authorized official.
16 Authorized Official Middle Name K The middle name of the authorized official.
17 Authorized Official Title or Position PRESIDENT The title or position of the authorized official.
18 Authorized Official Telephone Number 5082388646 The 10-position telephone number of the authorized official.
19 Healthcare Provider Taxonomy Code 1 207RA0401X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Organization Subpart N
22 Authorized Official Credential Text M.D.
23 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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