Organization Active NPI

Central Kentucky Surgery, P.S.C.

  • Specialist
  • Richmond, KY
National Provider Identifier
1508940099
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTRAL KENTUCKY SURGERY, P.S.C.
Practice address
1110 Lancaster Rd
Suite 3
Richmond, KY 40475-8792
Phone
(859) 623-3576
Fax
(859) 624-9682
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Richard A. Stone, MDNPI 1780790444
Title
President
Phone
(859) 623-3576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1110 Lancaster Rd
Suite 3
Richmond, KY 40475-8792

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
CM4690OtherTRAVELERS MEDICARE
65921579MedicaidKY

National Provider Directory

National Provider Directory

Locations

120 N Eagle Creek Dr
#350
Lexington, KY 40509
Phone (800) 559-6614

1110 Lancaster Rd
Ste 3
Richmond, KY 40475
Phone (606) 623-3276

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1260748800000",
    "number": "1508940099",
    "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",
            "fax_number": "859-624-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 LANCASTER RD",
            "address_2": "SUITE 3",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758792",
            "telephone_number": "859-623-3576",
            "fax_number": "859-624-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY SURGERY, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-623-3576",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CM4690",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65921579",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.