Organization Active NPI

Western Kentucky Surgical Associates PLLC

  • Surgery Physician
  • Hopkinsville, KY
National Provider Identifier
1235264565
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WESTERN KENTUCKY SURGICAL ASSOCIATES PLLC
Practice address
1722 High St
Hopkinsville, KY 42240-1936
Phone
(270) 886-1274
Fax
(270) 886-8307
NPI assigned
Feb 23, 2007
Last updated
Apr 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Dr. Francis Marshall Van Meter, MDNPI 1669439931
Title
Managing Partner
Phone
(270) 886-1274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

1722 High St
Hopkinsville, KY 42240-1936

Mailing address

1722 High St
Hopkinsville, KY 42240-1936
Phone (270) 886-1274

Other identifiers 1

IdentifierTypeStateIssuer
65946204MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1235264565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 HIGH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401936",
            "telephone_number": "270-886-1274",
            "fax_number": "270-886-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 HIGH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401936",
            "telephone_number": "270-886-1274",
            "fax_number": "270-886-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KENTUCKY SURGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "VAN METER",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "270-886-1274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65946204",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.