Organization Active NPI

Tates Creek Surgery Center LLC

  • Interventional Pain Medicine Physician
  • Lexington, KY
National Provider Identifier
1619805090
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
TATES CREEK SURGERY CENTER LLC
Practice address
4071 Tates Creek Centre Dr Ste 105
Lexington, KY 40517-3051
Phone
(859) 209-2423
Fax
(859) 234-5666
NPI assigned
May 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Debbie Skeeters, MHA, RN
Title
Clinical/ASC Director
Phone
(859) 209-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

4071 Tates Creek Centre Dr Ste 105
Lexington, KY 40517-3051

Mailing address

4071 Tates Creek Centre Dr Ste 105
Lexington, KY 40517-3051
Phone (859) 209-2423

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1619805090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 TATES CREEK CENTRE DR STE 105",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173051",
            "telephone_number": "859-209-2423",
            "fax_number": "859-234-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 TATES CREEK CENTRE DR STE 105",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173051",
            "telephone_number": "859-209-2423",
            "fax_number": "859-234-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATES CREEK SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "SKEETERS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CLINICAL/ASC DIRECTOR",
        "authorized_official_telephone_number": "859-209-4001",
        "authorized_official_credential": "MHA, RN"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.