Organization Active NPI

Hematology Oncology Physicians East Kentucky PSC

  • Hematology & Oncology Physician
  • London, KY
National Provider Identifier
1720176522
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
38197 Issued in KY
Legal business name
HEMATOLOGY ONCOLOGY PHYSICIANS EAST KENTUCKY PSC
Practice address
2737 North Laurel Road
London, KY 40741
Phone
(606) 843-2783
Fax
(606) 862-4899
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. Visaharan Sivasubramaniam, M.D.NPI 1902801921
Title
Owner
Phone
(606) 344-2444

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 38197 KY Primary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X 38197 KY
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 40196 KY
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208C00000X 40196 KY

Addresses

Primary practice location

2737 North Laurel Road
London, KY 40741

Mailing address

73 Thompson Poynter Road
Suite B
London, KY 40741
Phone (606) 344-2444

Other identifiers 1

IdentifierTypeStateIssuer
65942567MedicaidKY

Other names 1

  • HOPE KY PSC Doing business as

National Provider Directory

National Provider Directory

Locations

1 Hospital Dr
Barbourville, KY 40906
Phone (606) 376-8668

1705 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 528-4666

2737 N Laurel Rd
London, KY 40741
Phone (518) 229-5854

73 Thompson Poynter Rd
Ste B
London, KY 40741
Phone (606) 309-9990

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1720176522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 THOMPSON POYNTER ROAD",
            "address_2": "SUITE B",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "40741",
            "telephone_number": "606-344-2444",
            "fax_number": "606-862-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 NORTH LAUREL ROAD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "40741",
            "telephone_number": "606-843-2783",
            "fax_number": "606-862-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOLOGY ONCOLOGY PHYSICIANS EAST KENTUCKY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "SIVASUBRAMANIAM",
        "authorized_official_first_name": "VISAHARAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-344-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "38197",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KY",
            "license": "38197",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "KY",
            "license": "40196",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "KY",
            "license": "40196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65942567",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE KY PSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.