Organization Active NPI

E.W. Unnikrishnan M.D. PSC

  • Urology Physician
  • Ashland, KY
National Provider Identifier
1194945956
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
19376 Issued in KY
Legal business name
E.W. UNNIKRISHNAN M.D. PSC
Practice address
900 Saint Christopher Dr
Suite 201
Ashland, KY 41101-7090
Phone
(606) 836-2311
Fax
(606) 836-3616
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Dr. E.W Unnikrishnan, M.D
Title
President
Phone
(606) 836-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 19376 KY Primary

Addresses

Primary practice location

900 Saint Christopher Dr
Suite 201
Ashland, KY 41101-7090

Mailing address

900 St Christopher Dr
Suite 201
Ashland, KY 41101
Phone (606) 836-2311

Other identifiers 3

IdentifierTypeStateIssuer
64193766MedicaidKY
000000047124OtherKYANTHEM BC AND BS
0398976MedicaidOH

National Provider Directory

National Provider Directory

Locations

900 Saint Christopher Dr
Ste 201
Ashland, KY 41101
Phone (606) 324-4404

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1194945956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ST CHRISTOPHER DR",
            "address_2": "SUITE 201",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-836-2311",
            "fax_number": "606-836-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SAINT CHRISTOPHER DR",
            "address_2": "SUITE 201",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017090",
            "telephone_number": "606-836-2311",
            "fax_number": "606-836-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.W. UNNIKRISHNAN M.D. PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "UNNIKRISHNAN",
        "authorized_official_first_name": "E.W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-836-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "KY",
            "license": "19376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64193766",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC AND BS",
            "identifier": "000000047124",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0398976",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 14, 2012; 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.