Organization Active NPI

Central Ky Surgical Assisting

  • Surgical Technologist
  • Irvine, KY
National Provider Identifier
1295854735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Legal business name
CENTRAL KY SURGICAL ASSISTING
Practice address
795 Picnic Hill Rd
Irvine, KY 40336-7184
Phone
(502) 454-7788
Fax
(502) 451-9291
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sheri Tina Henry, KCSA
Title
Owner
Phone
(502) 454-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X Primary

Addresses

Primary practice location

795 Picnic Hill Rd
Irvine, KY 40336-7184

Mailing address

795 Picnic Hill Rd
Irvine, KY 40336-7184
Phone (502) 454-7788

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295854735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 PICNIC HILL RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403367184",
            "telephone_number": "502-454-7788",
            "fax_number": "502-451-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 PICNIC HILL RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403367184",
            "telephone_number": "502-454-7788",
            "fax_number": "502-451-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KY SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-454-7788",
        "authorized_official_credential": "KCSA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, KY

Sources for this page

  • 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.