Organization Active NPI

Advanced Surgical Associates of Kentucky PSC

  • Surgery Physician
  • Elizabethtown, KY
National Provider Identifier
1710995535
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ADVANCED SURGICAL ASSOCIATES OF KENTUCKY PSC
Practice address
1107 Crown Pointe Dr
Suite C
Elizabethtown, KY 42701-7123
Phone
(270) 982-1211
Fax
(270) 234-1952
NPI assigned
Aug 4, 2006
Last updated
Aug 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Robert E. Robbins, MD
Title
Physician/Owner
Phone
(270) 982-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

1107 Crown Pointe Dr
Suite C
Elizabethtown, KY 42701-7123

Mailing address

1107 Crown Pointe Dr
Suite C
Elizabethtown, KY 42701-7123
Phone (270) 982-1211

Other identifiers 1

IdentifierTypeStateIssuer
65945560MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1710995535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 CROWN POINTE DR",
            "address_2": "SUITE C",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017123",
            "telephone_number": "270-982-1211",
            "fax_number": "270-234-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CROWN POINTE DR",
            "address_2": "SUITE C",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017123",
            "telephone_number": "270-982-1211",
            "fax_number": "270-234-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL ASSOCIATES OF KENTUCKY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "270-982-1211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65945560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.