NPIMap

Organization Active NPI

East Ky Pulmonary & Sleep Disorder Ctr.

  • Pulmonary Disease Physician
  • Stanville, KY
National Provider Identifier
1013063106
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35594 Issued in KY
Legal business name
EAST KY PULMONARY & SLEEP DISORDER CTR.
Practice address
9350 US Hwy 23 South
Suite 104
Stanville, KY 41659
Phone
(606) 478-1005
Fax
(606) 478-8687
NPI assigned
Jan 25, 2007
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Srinivas Ammisetty, MDNPI 1689758799
Title
President
Phone
(606) 478-1005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35594 KY
Pulmonary Disease Physician 207RP1001X 35594 KY Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 35594 KY

Addresses

Primary practice location

9350 US Hwy 23 South
Suite 104
Stanville, KY 41659

Mailing address

PO Box 70
Stanville, KY 41659-0070
Phone (606) 478-1005

National Provider Directory

National Provider Directory

Locations

260 Hospital Dr
Ste 103
South Williamson, KY 41503
Phone (606) 478-1005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1013063106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "STANVILLE",
            "state": "KY",
            "postal_code": "416590070",
            "telephone_number": "606-478-1005",
            "fax_number": "606-478-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 US HWY 23 SOUTH",
            "address_2": "SUITE 104",
            "city": "STANVILLE",
            "state": "KY",
            "postal_code": "41659",
            "telephone_number": "606-478-1005",
            "fax_number": "606-478-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST KY PULMONARY & SLEEP DISORDER CTR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "AMMISETTY",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-478-1005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "35594",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "35594",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "KY",
            "license": "35594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.