NPIMap

Organization Active NPI

St Claire Medical Center Inc

Doing business as Cave Run Surgical Specialists

  • Surgery Physician
  • Morehead, KY
National Provider Identifier
1053465666
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
27207 Issued in KY
Legal business name
ST CLAIRE MEDICAL CENTER INC
Doing business as
Cave Run Surgical Specialists
Practice address
425 Clinic Dr
Morehead, KY 40351-1077
Phone
(606) 784-1049
Fax
(606) 784-2542
NPI assigned
Jan 22, 2007
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Donald H Lloyd II
Title
Ceo/President
Phone
(606) 783-6502

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 14451 KY
Orthopaedic Surgery Physician 207X00000X 25805 KY
Surgery Physician 208600000X 20216 KY
Surgery Physician 208600000X 17362 KY
Surgery Physician 208600000X 15468 KY
Surgery Physician 208600000X 40455 KY
Surgery Physician 208600000X 40472 KY
Surgery Physician 208600000X 27207 KY Primary
Vascular Surgery Physician 2086S0129X 20079 KY
Urology Physician 208800000X 24696 KY
Urology Physician 208800000X 39293 KY
Foot & Ankle Surgery Podiatrist 213ES0103X 309 KY

Addresses

Primary practice location

425 Clinic Dr
Morehead, KY 40351-1077

Mailing address

425 Clinic Dr
Morehead, KY 40351-1077
Phone (606) 784-1049

Other identifiers 1

IdentifierTypeStateIssuer
65942153MedicaidKY

Other names 1

  • Cave Run Surgical Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071207000320 KY Part A Provider - Hospital 4486559085 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Morehead, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053465666. Details of each certification follow.

Hospital certification: CCN 180018

Legal name
ST. CLAIRE MEDICAL CENTER INC
Doing business as
ST CLAIRE REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 17, 2012
Beds
149
Ownership / control type
Federal
Organization structure
CorporationNon-profit
Incorporated
Jul 3, 1963 in KY
Enrollment address
222 Medical Cir
Morehead, KY 40351-1179
Other Hospital Practice Location
Hospital subgroups
Acute care, Psychiatric unit, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
St Claire Regional Medical CenterCCN 180018 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Federal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
St Claire Medical Center I33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Albert Individual Corporate DirectorBoard Member Aug 22, 2019
John Northcutt Individual Corporate DirectorBoard Member Aug 1, 2021
Marla Monahan Individual Corporate DirectorChairman Feb 1, 2013
Marie Dennison Individual Corporate DirectorBoard Member Aug 1, 2020
Dan Markwell Individual Corporate DirectorVice Chairman Feb 22, 2018
Donald H Lloyd Individual Corporate OfficerChief Executive Officer May 1, 2019
W-2 Managing EmployeeChief Executive Officer May 1, 2019
Wendell McClurg Individual Corporate OfficerChief Financial Officer Aug 6, 2013
Shelley R Irving Individual Corporate DirectorBoard Member Aug 1, 2021
Russell C Ward Individual Corporate DirectorBoard Member Aug 1, 2021
Angela Gates Individual Corporate DirectorBoard Member Aug 1, 2020
Karen N Smith Individual Corporate DirectorBoard Member Aug 22, 2013
William Redwine Individual Corporate DirectorBoard Member Aug 25, 2016
Margaret Mouch Individual Corporate DirectorBoard Member Aug 1, 2021
Anthony Helton Individual Corporate DirectorBoard Member Aug 23, 2015
Aaron P Banks Individual Corporate DirectorBoard Member Aug 1, 2021
Oliver T Newcomb Individual Corporate DirectorBoard Member Aug 1, 2021

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 256

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 256

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1053465666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CLINIC DR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511077",
            "telephone_number": "606-784-1049",
            "fax_number": "606-784-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CLINIC DR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511077",
            "telephone_number": "606-784-1049",
            "fax_number": "606-784-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIRE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "606-783-6502",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "14451",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "25805",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "20216",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "17362",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "15468",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "40455",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "40472",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "27207",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "20079",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "24696",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "39293",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "309",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65942153",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cave Run Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cave Run Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.