Somerset Cardiology

Primary specialty

SpecialistTaxonomy code 174400000X

License

KY36456 Issued in KY

Legal business name

SOMERSET CARDIOLOGY

Practice address

402 Bogle St
Suite 2
Somerset, KY 42503-2870

Phone

(606) 679-1189

Fax

(606) 679-1187

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Khalid M. Saleh II, M. D.

Title

President

Phone

(606) 679-1189

Specialties & licenses 1

Addresses

Other identifiers 5

Tax ID family

Somerset Cardiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Somerset Cardiology

  • Nurse Practitioner
  • Somerset, KY
  • NPI 1699878199
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khaled Saleh, M.D.

  • Cardiovascular Disease Physician
  • Corbin, KY
  • NPI 1689767543

  Specialist

  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265546139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BOGLE ST",
            "address_2": "SUITE 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032870",
            "telephone_number": "606-679-1189",
            "fax_number": "606-679-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BOGLE ST",
            "address_2": "SUITE 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032870",
            "telephone_number": "606-679-1189",
            "fax_number": "606-679-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALEH",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-679-1189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "KY36456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000247973",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00051848",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1197492",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64051568",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "203482",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Smith
• Shannon Tennille Smith, MED.
• Stephanie T Smith, LPN
• Tammy Smith
• SNH Derby Tenant LLC (The Neighborhood of Somerset)
• Somerset Cardiology
• Somerset Cardiology, P.S.C.
• Somerset Dental PLLC
• Somerset Family Care LLC
• Somerset Family Dentistry PSC

• Specialist in Somerset, KY
• Providers in Somerset, 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.