Organization Active NPI

Orthopaedic Associates of Murray, PSC

  • Orthopaedic Surgery Physician
  • Murray, KY
National Provider Identifier
1659683969
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC ASSOCIATES OF MURRAY, PSC
Practice address
300 S 8TH St Ste 178W
Murray, KY 42071-2444
Phone
(270) 759-1444
Fax
(270) 759-1040
NPI assigned
Jul 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Mr. John A Yezerski, M.D.NPI 1003808783
Title
President
Phone
(270) 759-1444

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X KY Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X KY

Addresses

Primary practice location

300 S 8TH St Ste 178W
Murray, KY 42071-2444

Mailing address

300 S 8TH St Ste 178W
Murray, KY 42071-2444
Phone (270) 759-1444

Other identifiers 2

IdentifierTypeStateIssuer
000000690958OtherKYANTHEM
7100198370MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1659683969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 178W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712444",
            "telephone_number": "270-759-1444",
            "fax_number": "270-759-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 178W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712444",
            "telephone_number": "270-759-1444",
            "fax_number": "270-759-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC ASSOCIATES OF MURRAY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "YEZERSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-759-1444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000690958",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100198370",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.