Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1033215017

Unknown Individual is a healthcare provider. based in Madisonville, Kentucky. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold a License No. 14714 (KY). The NPI Number for Unknown Individual is 1033215017

Main info

Organization
Inactive
69 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033215017
Phone
Not provided
Address
200 CLINIC DR
Deactivation Date
30 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
2704154800
Graduation Year
1957 (69 years ago)
PAC ID
0648377275
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20070519000019

Contacts

Secure Messaging
jhamman7068@bhkydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 200, Clinic Drive, Madisonville, Hopkins County, Kentucky, 42431, United States

    MADISONVILLE, KY 424311661

    Phone:

    Type: Mailing

  • 800, Hospital Drive, Madisonville, Hopkins County, Kentucky, 42431, United States

    MADISONVILLE, KY 424311658

    Phone: (270) 326-3800

    Fax: (270) 326-3805

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42431)

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Provider's Procedures

Unknown Individual performs procedures in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
THORACIC SURGERYKY93922Ultrasound study of arteries of both arms and legs1816
THORACIC SURGERYKY93926Ultrasound study of arteries and arterial grafts of one leg or limited4030
THORACIC SURGERYKY93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4240

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1033215017.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Madisonville, Kentucky in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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