Kentucky Heart and Vascular Specialists, PSC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

33792 Issued in KY

Legal business name

KENTUCKY HEART AND VASCULAR SPECIALISTS, PSC

Doing business as

Kentucky Heart and Vascular Specialists, PSC

Practice address

1320 Woodland Dr
A
Elizabethtown, KY 42701

Phone

(270) 769-2929

Fax

(270) 769-0344

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Reda A El-Shikeh, M.D.

Title

Owner

Phone

(270) 769-2929

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kentucky Heart and Vascular Specialists, PSC Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reda A El-Shiekh, M.D.

  • Specialist
  • Elizabethtown, KY
  • NPI 1346271830
  Medicare reassignment NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1801806963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WOODLAND DR",
            "address_2": "A",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "42701",
            "telephone_number": "270-769-2929",
            "fax_number": "270-769-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WOODLAND DR",
            "address_2": "A",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "42701",
            "telephone_number": "270-769-2929",
            "fax_number": "270-769-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY HEART AND VASCULAR SPECIALISTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "EL-SHIKEH",
        "authorized_official_first_name": "REDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-769-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "KY",
            "license": "33792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64337926",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentucky Heart and Vascular Specialists, PSC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kentucky Heart and Vascular Specialists, PSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Kennedy, RDH
• Linda Kennedy, LPCC
• Kensington Health Center LLC
• Kentuckiana Foot & Ankle, PLLC
• Kentucky CVS Pharmacy LLC
• Kentucky Orthopedic Rehabilitation
• Kentucky Orthopedic Rehabilitation LLC
• Kentucky Radiation Therapy Associates PSC
• Kelly Coriene Keplinger-Page, APRN
• Karen L Keplinger, RN

• Medical Specialty Clinic/Center in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Medical Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.