NPIMap

Organization Active NPI

Kings Daughters Medical Specialties Inc.

Doing business as Kings Daughters Medical Specialties - KHI Cardiology

  • Cardiovascular Disease Physician
  • Ashland, KY
National Provider Identifier
1134484892
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
KINGS DAUGHTERS MEDICAL SPECIALTIES INC.
Doing business as
Kings Daughters Medical Specialties - KHI Cardiology
Kings Daughters Medical Specialties - TSVS
Practice address
613 23Rd St Ste 210
Ashland, KY 41101-2868
Phone
(606) 326-9847
Fax
(606) 324-3418
NPI assigned
Jul 9, 2012
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Mrs. Sara Marks
Title
Ceo/President
Phone
(606) 408-4401

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

613 23Rd St Ste 210
Ashland, KY 41101-2868

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200

Other practice location 1

14395 St Rt 93
Jackson, OH 45640-9798
Phone (740) 288-7681

Other practice location 2

2001 Scioto Trl Ste 200
Portsmouth, OH 45662-5122
Phone (740) 353-8100

Other practice location 3

800 Saint Christopher Dr Ste 1
Ashland, KY 41101-7030
Phone (606) 836-9613

Other practice location 4

912 Park Ave
Ironton, OH 45638-1596
Phone (606) 324-4745

Other practice location 5

211 St Rt 59
Vanceburg, KY 41179
Phone (866) 353-5919

Other practice location 6

1908 N Ky 7
Sandy Hook, KY 41171-7172
Phone (606) 474-2235

Other practice location 7

906 E Mountain Pkwy
Salyersville, KY 41465-8379
Phone (606) 886-0892

Other practice location 8

1279 Old Abbott Mountain Rd
Prestonsburg, KY 41653-1889
Phone (606) 886-0892

Other practice location 9

391 W Tom T Hall Blvd
Olive Hill, KY 41164-7688
Phone (606) 286-8039

Other practice location 10

2483 Highway 644 Ste 103
Louisa, KY 41230-9242
Phone (606) 638-9954

Other practice location 11

St Rt 40 E Blacklog
Inez, KY 41224
Phone (606) 886-0892

Other practice location 12

613 23rd St Ste 520
Ashland, KY 41101-2878
Phone (606) 326-1675

Other practice location 13

613 23rd St Ste 230
Ashland, KY 41101-2868
Phone (606) 324-4745

Other practice location 14

619 North Carol Malone Blvd
Ste 105
Grayson, KY 41143-1123
Phone (606) 474-2235

Other practice location 15

214 Collins Ave Ste A
South Point, OH 45680-3506
Phone (740) 867-2850

Other names 2

  • Kings Daughters Medical Specialties - KHI Cardiology Doing business as
  • Kings Daughters Medical Specialties - TSVS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100114000813 OH Part B Supplier - Clinic/Group Practice 6103968029 Receives reassigned benefits from 181 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wheelersburg, OH; Waverly, OH; South Point, OH; Portsmouth, OH; Lucasville, OH; Jackson, OH; Ironton, OH; Franklin Furance, OH
O20100217000538 KY Part B Supplier - Clinic/Group Practice 6103968029 Receives reassigned benefits from 554 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 33

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

View all 33

National Provider Directory

National Provider Directory

Locations

613 23rd St
Ste 520
Ashland, KY 41101
Phone (606) 326-1675

1908 N Ky 7
Sandy Hook, KY 41171
Phone (606) 738-9339

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1134484892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE 210",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012868",
            "telephone_number": "606-326-9847",
            "fax_number": "606-324-3418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14395 St Rt 93",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "OH",
            "postal_code": "456409798",
            "country_code": "US",
            "telephone_number": "740-288-7681",
            "fax_number": "740-288-7682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Scioto Trl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456625122",
            "country_code": "US",
            "telephone_number": "740-353-8100",
            "fax_number": "740-353-9808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Saint Christopher Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017030",
            "country_code": "US",
            "telephone_number": "606-836-9613",
            "fax_number": "606-836-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456381596",
            "country_code": "US",
            "telephone_number": "606-324-4745",
            "fax_number": "606-324-4941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 St Rt 59",
            "address_purpose": "LOCATION",
            "city": "Vanceburg",
            "state": "KY",
            "postal_code": "41179",
            "country_code": "US",
            "telephone_number": "866-353-5919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1908 N Ky 7",
            "address_purpose": "LOCATION",
            "city": "Sandy Hook",
            "state": "KY",
            "postal_code": "411717172",
            "country_code": "US",
            "telephone_number": "606-474-2235",
            "fax_number": "606-474-2236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "906 E Mountain Pkwy",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414658379",
            "country_code": "US",
            "telephone_number": "606-886-0892",
            "fax_number": "606-886-9746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1279 Old Abbott Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531889",
            "country_code": "US",
            "telephone_number": "606-886-0892",
            "fax_number": "606-886-9746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "391 W Tom T Hall Blvd",
            "address_purpose": "LOCATION",
            "city": "Olive Hill",
            "state": "KY",
            "postal_code": "411647688",
            "country_code": "US",
            "telephone_number": "606-286-8039",
            "fax_number": "606-286-6108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2483 Highway 644 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412309242",
            "country_code": "US",
            "telephone_number": "606-638-9954",
            "fax_number": "606-638-3595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "St Rt 40 E Blacklog",
            "address_purpose": "LOCATION",
            "city": "Inez",
            "state": "KY",
            "postal_code": "41224",
            "country_code": "US",
            "telephone_number": "606-886-0892",
            "fax_number": "606-886-9746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 23rd St Ste 520",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012878",
            "country_code": "US",
            "telephone_number": "606-326-1675",
            "fax_number": "606-326-1436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 23rd St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012868",
            "country_code": "US",
            "telephone_number": "606-324-4745",
            "fax_number": "606-324-4941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 North Carol Malone Blvd",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411431123",
            "country_code": "US",
            "telephone_number": "606-474-2235",
            "fax_number": "606-474-2236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Collins Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "South Point",
            "state": "OH",
            "postal_code": "456803506",
            "country_code": "US",
            "telephone_number": "740-867-2850",
            "fax_number": "740-867-2851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGS DAUGHTERS MEDICAL SPECIALTIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "606-408-4401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kings Daughters Medical Specialties - KHI Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kings Daughters Medical Specialties - TSVS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.