NPIMap

Organization Active NPI

Central Kentucky Surgery, PSC

  • Specialist
  • Berea, KY
National Provider Identifier
1346324845
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTRAL KENTUCKY SURGERY, PSC
Practice address
202 Kidd Dr
Suite 1
Berea, KY 40403-9593
Phone
(859) 985-9535
NPI assigned
Oct 24, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL KENTUCKY SURGERY PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Kent Kessler, MDNPI 1750497509
Title
Secretary
Phone
(859) 985-9535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

202 Kidd Dr
Suite 1
Berea, KY 40403-9593

Mailing address

1110 Lancaster Rd
Suite 3
Richmond, KY 40475-8792
Phone (859) 623-3576

Other identifiers 2

IdentifierTypeStateIssuer
65921579MedicaidKY
CM4690OtherTRAVELERS MEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Central Kentucky Surgery4 organizations share this tax ID, including this one
Part of
Central Kentucky Surgery

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1346324845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 LANCASTER RD",
            "address_2": "SUITE 3",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758792",
            "telephone_number": "859-623-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 KIDD DR",
            "address_2": "SUITE 1",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039593",
            "telephone_number": "859-985-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY SURGERY, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL KENTUCKY SURGERY PSC",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "859-985-9535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65921579",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CM4690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.