Provider Demographics
NPI:1750342325
Name:DRS HILGEFORD MORGAN & HANEY PLLC
Entity type:Organization
Organization Name:DRS HILGEFORD MORGAN & HANEY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:HILGEFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-893-0495
Mailing Address - Street 1:201 MERIDIAN AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-3850
Mailing Address - Country:US
Mailing Address - Phone:502-893-0495
Mailing Address - Fax:502-895-7009
Practice Address - Street 1:201 MERIDIAN AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-3850
Practice Address - Country:US
Practice Address - Phone:502-893-0495
Practice Address - Fax:502-895-7009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY207R00000X, 208000000X, 207Q00000X
KY3007499363LA2200X
KY3006941363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7890248300Medicaid
KYCL4700OtherRAILROAD MEDICARE
KY7100036230Medicaid
KYCL4700OtherRAILROAD MEDICARE