Active NPI
Central Kentucky Adult & Pediatric Urology PSC
- Urology Physician
- Georgetown, KY
National Provider Identifier
1831226562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 32238
- Legal business name
- CENTRAL KENTUCKY ADULT & PEDIATRIC UROLOGY PSC
- Practice address
- 1138 Lexington Rd
Suite 110
Georgetown, KY 40324-9672 - Phone
- (502) 868-7666
- Fax
- (502) 868-8060
- NPI assigned
- Feb 28, 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
- Mrs. Mae Marie Hill
- Title
- Office Manager
- Phone
- (502) 868-7666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 32238 | KY | Primary |
Addresses
Primary practice location
1138 Lexington Rd
Suite 110
Georgetown, KY 40324-9672
Mailing address
1138 Lexington Rd
Suite 110
Georgetown, KY 40324-9672
Phone (502) 868-7666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65900581 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
135 E Maxwell St
Ste 300
Lexington, KY 40508
Phone (859) 263-3888
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Lexington, KY
- NPI 1710914353
-
- Urology Physician
- Richmond, KY
- NPI 1700974797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340582400000",
"number": "1831226562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1138 LEXINGTON RD",
"address_2": "SUITE 110",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249672",
"telephone_number": "502-868-7666",
"fax_number": "502-868-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 LEXINGTON RD",
"address_2": "SUITE 110",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249672",
"telephone_number": "502-868-7666",
"fax_number": "502-868-8060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL KENTUCKY ADULT & PEDIATRIC UROLOGY PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2012-06-25",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "MAE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "502-868-7666",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": "KY",
"license": "32238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65900581",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
- Martin A Castillo Liranzo, M.D
- Patrick Michael Cellarosi-Yorba, MD
- Center for Comprehensive Services, Inc
- Center for Comprehensive Services, Inc
- Center for Comprehensive Services, Inc.
- Central Kentucky Advanced Surgery &
- Central Kentucky Family Pharmacy LLC
- Central Kentucky Orthopaedics, PLC
- Central Kentucky Women'S Healthcare PSC
- Jason Chadwick, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.