Center for Recovery and Wellness

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

Legal business name

CENTER FOR RECOVERY AND WELLNESS

Practice address

300 W Broadway St
Danville, KY 40422

Phone

(859) 236-0606

Fax

(859) 236-0066

NPI assigned

May 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Khursheed A Siddiqui, MD

Title

Owner

Phone

(859) 691-0201

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1427404037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221408",
            "telephone_number": "859-236-0606",
            "fax_number": "859-236-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "40422",
            "telephone_number": "859-236-0606",
            "fax_number": "859-236-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR RECOVERY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "KHURSHEED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-691-0201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100418720",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Tinamisan Catausan, MD
• Christine Catron, LCSW
• Jeremy David Caudill, PA-C
• Justin B Cecil, PA-C
• Center for Better Living, Inc.
• Nicole Maria Centers, APRN
• Centerwell Certified Healthcare Corp.
• Central Kentucky Interventional Pain Center, PLLC
• Central Kentucky Kidney Care LLC
• Central Kentucky Kidney Center LLC

• Anesthesiology Physician in Danville, KY
• Providers in Danville, KY by specialty
• Anesthesiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.