Crestview Hills Surgery Center, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CRESTVIEW HILLS SURGERY CENTER, PLLC

Doing business as

ICan

Practice address

210 Thomas More Pkwy Uppr Level
Crestview Hills, KY 41017-3429

Phone

(859) 331-4555

Fax

(859) 331-6555

NPI assigned

Jul 25, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kendall E. Hansen

Title

Owner

Phone

(859) 957-0700

Specialties & licenses 1

Addresses

Other names 1

• ICan Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 18C0001055

Legal name

CRESTVIEW HILLS SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 15, 2021

Last certification

Oct 15, 2021

Ownership / control type

Proprietary

Facility address

210 Thomas More Parkway
Crestview Hills, KY 41017

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1003369216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 THOMAS MORE PKWY UPPR LEVEL",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173429",
            "telephone_number": "859-331-4555",
            "fax_number": "859-331-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 THOMAS MORE PKWY UPPR LEVEL",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173429",
            "telephone_number": "859-331-4555",
            "fax_number": "859-331-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW HILLS SURGERY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-957-0700"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ICan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca S Cornelius, MD
• Covington Operating Company LLC
• CP Anesthesia
• Christine N Craig, MSW, LCSW
• Meredith Anne Craven, M.E.D
• Daniel Brent Cross, PT
• Rebecca Ann Cross, LPTA
• Amber J Cullen, CNP
• Christopher Anthony Cunha, M.D.
• Robert Curtis, DPT

• Ambulatory Surgical Clinic/Center in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Ambulatory Surgical Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.