Individual provider Active NPI

Lonnie Bargo

  • Surgical Assistant
  • Science Hill, KY
National Provider Identifier
1689714669
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
49038 Issued in KY
Practice address
420 Stilesville Rd
Science Hill, KY 42553-7410
Phone
(606) 451-0177
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 49038 KY Primary

Addresses

Primary practice location

420 Stilesville Rd
Science Hill, KY 42553-7410

Mailing address

39 Bolton Dr
Somerset, KY 42503-4910
Phone (606) 875-8576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
49038KYMDNeuropathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake City Surgical Assistants LLC Surgical Assistant Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1689714669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BOLTON DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034910",
            "telephone_number": "606-875-8576",
            "fax_number": "606-875-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 STILESVILLE RD",
            "city": "SCIENCE HILL",
            "state": "KY",
            "postal_code": "425537410",
            "telephone_number": "606-451-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGO",
        "first_name": "LONNIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KY",
            "license": "49038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Science Hill, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.