Organization Active NPI

Asap Addiction Treatment LLC

Doing business as ASAP Addiction Treatment Center

  • Addiction Medicine (Family Medicine) Physician
  • Pikeville, KY
National Provider Identifier
1508254087
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
ASAP ADDICTION TREATMENT LLC
Doing business as
ASAP Addiction Treatment Center
Practice address
400 Venters LN
Pikeville, KY 41501-3016
Phone
(606) 437-0097
Fax
(606) 657-0205
NPI assigned
Jan 6, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ALCOHOL AND SUBSTANCE ABUSE PROFESSIONALS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Eugene Sisco
Title
Administrator
Phone
(606) 437-0097

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X KY Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X KY
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X KY

Addresses

Primary practice location

400 Venters LN
Pikeville, KY 41501-3016

Mailing address

400 Venters LN
Pikeville, KY 41501-3016
Phone (606) 437-0097

Other practice location 1

282 S Mayo Trl
Pikeville, KY 41501-1520
Phone (606) 437-0097 ext. 302

Other identifiers 1

IdentifierTypeStateIssuer
7100333920MedicaidKY

Other names 1

  • ASAP Addiction Treatment Center Doing business as

National Provider Directory

National Provider Directory
Part of
Alcohol and Substance Abuse Professionals

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508254087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VENTERS LN",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013016",
            "telephone_number": "606-437-0097",
            "fax_number": "606-657-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VENTERS LN",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013016",
            "telephone_number": "606-437-0097",
            "fax_number": "606-657-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 S Mayo Trl",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011520",
            "country_code": "US",
            "telephone_number": "606-437-0097 x302",
            "fax_number": "606-657-0205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASAP ADDICTION TREATMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALCOHOL AND SUBSTANCE ABUSE PROFESSIONALS, LLC",
        "enumeration_date": "2015-01-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SISCO",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "606-437-0097"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100333920",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASAP Addiction Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.