NPIMap

Organization Active NPI

Lourdes Ambulatory Surgery Center, LLC

  • Certified Registered Nurse Anesthetist
  • Paducah, KY
National Provider Identifier
1275770943
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
LOURDES AMBULATORY SURGERY CENTER, LLC
Practice address
225 Medical Center Dr
Paducah, KY 42003-7914
Phone
(270) 441-4125
Fax
(270) 441-4171
NPI assigned
Jan 16, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Michael Yungmann
Title
President
Phone
(270) 444-2491

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 9

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

NPPES NPI Registry

Primary practice location

225 Medical Center Dr
Paducah, KY 42003-7914

Mailing address

PO Box 8329
Paducah, KY 42002-8329
Phone (270) 441-4125

Other names 1

NPPES NPI Registry
  • LMP Anesthesia Department Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2019.

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1275770943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8329",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420028329",
            "telephone_number": "270-441-4125",
            "fax_number": "270-441-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4125",
            "fax_number": "270-441-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "YUNGMANN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-444-2491",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LMP Anesthesia Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LMP Anesthesia Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.