Active NPI
Highlands Surgical Assoc
- Surgery Physician
- Prestonsburg, KY
National Provider Identifier
1780725986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 17825
- Legal business name
- HIGHLANDS SURGICAL ASSOC
- Practice address
- 400 University Dr Ste 203
Prestonsburg, KY 41653-1080 - Phone
- (606) 886-8183
- Fax
- (606) 886-0575
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Syed G Badrudduja, M.D.
- Title
- Physician
- Phone
- (606) 886-8183
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 17825 | KY | Primary |
Addresses
Primary practice location
400 University Dr Ste 203
Prestonsburg, KY 41653-1080
Mailing address
400 University Dr Ste 203
Prestonsburg, KY 41653-1080
Phone (606) 886-8183
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000057545 | Other | KY | BCBS |
| 65901951 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
400 University Dr
Ste 203
Prestonsburg, KY 41653
Phone (606) 886-8183
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Prestonsburg, KY
- NPI 1225191885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193616000000",
"number": "1780725986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 UNIVERSITY DR STE 203",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416531080",
"telephone_number": "606-886-8183",
"fax_number": "606-886-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 UNIVERSITY DR STE 203",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416531080",
"telephone_number": "606-886-8183",
"fax_number": "606-886-0575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLANDS SURGICAL ASSOC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2007-10-29",
"status": "A",
"authorized_official_last_name": "BADRUDDUJA",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "606-886-8183",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "KY",
"license": "17825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000057545",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65901951",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prestonsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.