Anissa Hargis
PA-C | Pediatric Adolescent Medicine | Female
Anissa Hargis, PA-C is a Louisville, Kentucky based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Anissa Hargis is
301 C Middleton Park Pl, Louisville, Kentucky - 40243. She can be contacted on phone at
502-244-9858 and fax number 502-244-9575.
Anissa Hargis is a sole proprietor of her business.
NPI number (Unique professional ID) for Anissa Hargis is
1467450858 which was assigned by NPPES on 11 Jul, 2005 and it was last updated on 11 Jun, 2009.
Anissa Hargis license number is
PA353 for Pediatrics Adolescent Medicine (2080A0000X) in Kentucky.
Anissa Hargis 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.
Complete Profile:
Anissa Hargis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Anissa Hargis |
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| Credential : | PA-C |
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| Gender : | Female |
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Business Address:
Anissa Hargis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 301 C Middleton Park Pl
Louisville, KY, 40243
United States |
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| Phone Number : | 502-244-9858 |
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| Fax Number : | 502-244-9575 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1467450858 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Jul, 2005 |
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| Last Updated On : | 11 Jun, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Anissa Hargis are as mentioned. Primary taxonomy code for Anissa Hargis, PA-C is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 363AM0700X | Physician Assistant Medical | No | PA 353 | KY |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | PA353 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Anissa Hargis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000246339 | Other | KY | ANTHEM |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 301 C Middleton Park Pl
Louisville, KY, 40243
United States |
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| Phone Number : | 502-244-9858 |
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| Fax Number : | 502-244-9575 |
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Business Location:
Patients can refer following map for directions to
Anissa Hargis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.