Surgical Specialists, PSC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL SPECIALISTS, PSC

Practice address

1700 Ring Rd
Elizabethtown, KY 42701-9497

Phone

(270) 769-5551

Fax

(270) 765-3919

NPI assigned

May 9, 2006

Last updated

Feb 25, 2008By 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

Todd Y Chadwell, M.D.NPI 1225031941

Title

Physician

Phone

(270) 769-5551

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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.

• Todd Y. Chadwell, MD

  • Surgery Physician
  • Elizabethtown, KY
  • NPI 1225031941
  Authorized official Same address or phone
• George Neil Yates, M.D.

  • Vascular Surgery Physician
  • Elizabethtown, KY
  • NPI 1528067329
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1306895925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019497",
            "telephone_number": "270-769-5551",
            "fax_number": "270-765-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019497",
            "telephone_number": "270-769-5551",
            "fax_number": "270-765-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "CHADWELL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "270-769-5551",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT GROUP",
            "identifier": "1048712",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65902207",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB0393",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Children's Services, Inc. (Glen Dale Center)
• Sunrise Children's Services, Inc. (Glen Dale Center)
• Supermommy's Superstore, LLC (Supermommy's Superstore)
• Suresh Kodali (Doctor Kodali & Associates)
• Surgical Center of Elizabethtown Limited Partnership
• James Taylor Sutherland
• Adelle Sutton
• Vivek Swaminathan, PHARMACIST
• Margaretmary Sweeney, LPCC
• Michele Swiney

• Surgery Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.