Lebanon Surgical Associates, P.S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

27388 Issued in KY

Legal business name

LEBANON SURGICAL ASSOCIATES, P.S.C.

Practice address

496 W Main St
Lebanon, KY 40033-1362

Phone

(270) 692-2222

Fax

(270) 692-1041

NPI assigned

Oct 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frederick A Dorroh, M.D.NPI 1275511214

Title

President

Phone

(270) 692-2222

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Frederick A Dorroh, MD

  • Surgery Physician
  • Ardmore, OK
  • NPI 1275511214
  NPD (past) Authorized official
• Jennifer B Mullins, A.R.N.P.

  • Family Nurse Practitioner
  • Lebanon, KY
  • NPI 1942307079
  NPD (past)
• Lawson P McNary Jr., MD

  • Surgery Physician
  • Magnolia, AR
  • NPI 1922093202
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255417887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 W MAIN ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331362",
            "telephone_number": "270-692-2222",
            "fax_number": "270-692-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 W MAIN ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331362",
            "telephone_number": "270-692-2222",
            "fax_number": "270-692-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON SURGICAL ASSOCIATES, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DORROH",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-692-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "27388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lebanon Family Dental Care, PSC
• Lebanon Massage Therapeutics, Inc.
• Lebanon Pediatrics LLC
• Lebanon Pediatrics, LLC
• Lebanon Physicians for Women
• Robert Lee
• Lincoln Trail District Health Department (Marion County Health Center)
• Kimberly Dean Lobb, MHA
• Dana Michelle Logsdon, APRN
• Marvin D Mabry, D.C.

• Specialist in Lebanon, KY
• Providers in Lebanon, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.