Active NPI
Kansas Stidham
- Surgical Assistant
- Lexington, KY
National Provider Identifier
1083585368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 3475 Blazer Pkwy Ste 131
Lexington, KY 40509-1850 - Phone
- (859) 514-0260
- NPI assigned
- Sep 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | KY | Primary |
Addresses
Primary practice location
3475 Blazer Pkwy Ste 131
Lexington, KY 40509-1850
Mailing address
3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 263-5140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Orthopaedics PSC | Current | Accepting new patients |
Locations
3475 Blazer Pkwy
Ste 131
Lexington, KY 40509
Phone (859) 514-0260
3480 Yorkshire Medical Park
Lexington, KY 40509
Phone (859) 303-8803
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1447622394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1083585368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3480 YORKSHIRE MEDICAL PARK",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091886",
"telephone_number": "859-263-5140",
"fax_number": "859-263-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 BLAZER PKWY STE 131",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091850",
"telephone_number": "859-514-0260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIDHAM",
"first_name": "KANSAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.