Active NPI
Advanced Surgical Specialists of Ky, PLLC
- Surgery Physician
- Jackson, KY
National Provider Identifier
1174913172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 42222
- Legal business name
- ADVANCED SURGICAL SPECIALISTS OF KY, PLLC
- Practice address
- 540 Jett Dr
Jackson, KY 41339-9622 - Phone
- (606) 666-7777
- Fax
- (606) 666-4100
- NPI assigned
- Jan 28, 2015
- Last updated
- Mar 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin Barrios, MD
- Title
- Owner
- Phone
- (606) 666-7777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 42222 | KY | Primary |
Addresses
Primary practice location
540 Jett Dr
Jackson, KY 41339-9622
Mailing address
540 Jett Dr
Jackson, KY 41339-9622
Phone (606) 666-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100304970 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
1550 Highway 15 S
Ste 270
Jackson, KY 41339
Phone (606) 666-7777
2005 Corporate Dr
Richmond, KY 40475
Phone (606) 666-7777
2150 Lexington Rd
Ste D2
Richmond, KY 40475
Phone (606) 666-7777
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.
-
- Chiropractor
- Frankfort, KY
- NPI 1902929110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426723200000",
"number": "1174913172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 JETT DR",
"city": "JACKSON",
"state": "KY",
"postal_code": "413399622",
"telephone_number": "606-666-7777",
"fax_number": "606-666-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 JETT DR",
"city": "JACKSON",
"state": "KY",
"postal_code": "413399622",
"telephone_number": "606-666-7777",
"fax_number": "606-666-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED SURGICAL SPECIALISTS OF KY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-28",
"last_updated": "2015-03-19",
"status": "A",
"authorized_official_last_name": "BARRIOS",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-666-7777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "42222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100304970",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, KY
- Aaron K. Jonan Memorial Clinic Inc. (Aaron Jonan Memorial Clinic)
- June Elizabeth Abadilla
- Melecio G Abordo Jr., M.D.
- Marcia Adams
- Courtney Brooke Addison, APRN
- Cesar Ocampo Agtarap, M.D.
- Sreenivasa Reddy Alla, M.D.
- American Homepatient, Inc.
- Appalachian Post Acute LLC (Appalachian Post Acute)
- Appalucky Mission of Integrated Health Inc (Appalucky Mission)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.