NPIMap

Organization Active NPI

Surgical Associates PSC

  • Clinic/Center
  • Shelbyville, KY
National Provider Identifier
1366541971
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SURGICAL ASSOCIATES PSC
Practice address
30 Stonecrest CT
Suite 104
Shelbyville, KY 40065-8128
Phone
(502) 633-6062
Fax
(502) 633-6810
NPI assigned
Sep 21, 2006
Last updated
Jan 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Julie Marie Sanford
Title
Office Manager
Phone
(502) 633-6062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

30 Stonecrest CT
Suite 104
Shelbyville, KY 40065-8128

Mailing address

30 Stonecrest CT
Suite 104
Shelbyville, KY 40065-8128
Phone (502) 633-6062

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1366541971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STONECREST CT",
            "address_2": "SUITE 104",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658128",
            "telephone_number": "502-633-6062",
            "fax_number": "502-633-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 STONECREST CT",
            "address_2": "SUITE 104",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658128",
            "telephone_number": "502-633-6062",
            "fax_number": "502-633-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-633-6062"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.