Lourdes Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LOURDES AMBULATORY SURGERY CENTER LLC

Practice address

225 Medical Center Dr Ste 105
Paducah, KY 42003-7934

Phone

(270) 441-4125

Fax

(270) 441-4171

NPI assigned

Jul 26, 2005

Last updated

Mar 3, 2025By 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

Mr. Michael Yungmann

Title

President

Phone

(270) 444-2980

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Listed as

Lourdes Ambulatory Surgery Center LLCCCN 18C0001027

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• Mercy Health-Lourdes Hospital LLC

  dba Harness Health Pharmacy

  • Community/Retail Pharmacy
  • Paducah, KY
  • NPI 1700214558

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1326048091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638982",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638982",
            "telephone_number": "270-441-4500",
            "fax_number": "270-441-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 105",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037934",
            "telephone_number": "270-441-4125",
            "fax_number": "270-441-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "YUNGMANN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-444-2980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "BLUEMARK",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Michelle Looper
• Emily Dawn Lopez, PA
• Nicholas Michael Lopez, M.D.
• Jason R Lorch, DO
• Heather Losser, LPA
• Lourdes Ambulatory Surgery Center, LLC (LMP Anesthesia Department)
• Lourdes Hospital
• Lourdes Medical Pavilion
• Lourdes Medical Pavilion, LLC (Paducah Diagnostic Center)
• Lourdes Medical Pavilion, LLC (LMP Anesthesia Department)

• Ambulatory Surgical Clinic/Center in Paducah, KY
• Providers in Paducah, KY by specialty
• Ambulatory Surgical Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.