Central Kentucky Surgery, PSC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CENTRAL KENTUCKY SURGERY, PSC

Practice address

120 N Eagle Creek Dr
Suite 350
Lexington, KY 40509-1827

Phone

(800) 559-6614

Fax

(859) 624-9682

NPI assigned

Oct 22, 2009

Organization subpart

Yes

Parent organization

CENTRAL KENTUCKY SURGERY, PSCAs reported in NPPES

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

Authorized official

Name

Hameed Koury, MD

Title

Vice President

Phone

(859) 623-3576

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Central Kentucky Surgery P4 organizations share this tax ID, including this one

Part of

Central Kentucky Surgery P

Other organizations with this tax ID 3

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

• Central Kentucky Surgery, PSC

  • Specialist
  • Berea, KY
  • NPI 1346324845
  NPD tax ID
• Central Kentucky Surgery, PSC

  • Specialist
  • Irvine, KY
  • NPI 1386728897
  NPD tax ID
• Central Kentucky Surgery, PSC

  • Specialist
  • Mount Vernon, KY
  • NPI 1881778397
  NPD tax ID

Locations

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1609102805",
    "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": "120 N EAGLE CREEK DR",
            "address_2": "SUITE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "800-559-6614",
            "fax_number": "859-624-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY SURGERY, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL KENTUCKY SURGERY, PSC",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "KOURY",
        "authorized_official_first_name": "HAMEED",
        "authorized_official_title_or_position": "VICE 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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65921579",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Kentucky Mobility
• Central Kentucky Pain Management, PLLC
• Central Kentucky Pain Professionals, PLLC
• Central Kentucky Radiology PLLC
• Central Kentucky Sedation PLLC
• Central Kentucky Wellness Center, LLC
• Central Ky Home Care LLC
• Central Ky Nephrology & Hypertension
• Central Physicians Imaging
• Central Prosthetics & Orthotics Inc

• Specialist in Lexington, KY
• Providers in Lexington, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.