Central Kentucky Surgeons, PSC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CENTRAL KENTUCKY SURGEONS, PSC

Practice address

130 Daniel Dr
Danville, KY 40422-2527

Phone

(859) 236-2222

Fax

(859) 236-2227

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John H. Lacy, M.D.

Title

President

Phone

(859) 236-2222

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary M Bunch, MD

  • Surgery Physician
  • Bradenton, FL
  • NPI 1730174442
  NPD (past)
• Richard F Hwang, M.D.

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1457448219

  Surgery

  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1114079555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DANIEL DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222527",
            "telephone_number": "859-236-2222",
            "fax_number": "859-236-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DANIEL DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222527",
            "telephone_number": "859-236-2222",
            "fax_number": "859-236-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY SURGEONS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "LACY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-236-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65903395",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Kentucky Plastic Surgery, PLLC
• Central Kentucky Psychiatry, PLLC
• Central Kentucky Radiation Oncology Group
• Central Kentucky Radiology
• Central Kentucky Spine Surgery, PLLC
• Robin T. Cerridwen, CRNA
• Charles J Zimmermann DPM
• Rebecca P Chatham, MD
• Choiceone Diagnostics, LLC
• Chris Bostick DMD PLLC

• Surgery Physician in Danville, KY
• Providers in Danville, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.