Organization Active NPI

Advanced Surgical Specialists of Ky, PLLC

  • Surgery Physician
  • Jackson, KY
National Provider Identifier
1174913172
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
42222 Issued in KY
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100304970MedicaidKY

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.