NPI Details
DR. Derrick Jack Hamilton, D.O. is an internal medicine in Jackson, KY with 22 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Derrick Jack Hamilton, D.O. NPI is 1376631283. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduation Year:2004
The provider's business location address is:
1484 LAKESIDE DRIVE
JACKSON, KY
ZIP 41339-555
Phone: (606) 666-9950
Fax: (606) 666-9136
The NPI 1376631283 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/10/2006 and was last updated on 3/13/2020.
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 | 207R00000X | Internal Medicine | | 02998 | 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 | 1467417691 | OTHER | KENTUCKY | MEDICAID FQHC GROUP JACKSON |
| 2 | 7100015160 | MEDICAID | KENTUCKY | |
| 3 | 1407818628 | OTHER | KENTUCKY | MEDICIAID FQHC GROUP LEE |
| 4 | 1962823393 | OTHER | KENTUCKY | MEDICIAID FQHC GROUP WOLFE |
