Surgical Group of Paducah P.S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SURGICAL GROUP OF PADUCAH P.S.C.

Practice address

2601 Kentucky Ave
Doctor BLDG. 1 Suite 201
Paducah, KY 42003-8468

Phone

(270) 538-9555

Fax

(270) 538-9554

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Cindy Forthman

Title

Business Manager

Phone

(270) 538-9555

Specialties & licenses 1

Addresses

Other names 1

• surgical group p.s.c. Former legal business name

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1841236809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8468",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420028468",
            "telephone_number": "270-538-9555",
            "fax_number": "270-538-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 KENTUCKY AVE",
            "address_2": "DOCTOR BLDG. 1 SUITE 201",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038468",
            "telephone_number": "270-538-9555",
            "fax_number": "270-538-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL GROUP OF PADUCAH P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "FORTHMAN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "270-538-9555"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "surgical group p.s.c.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tracy Dawn Summes, PTA
• Summit Mental Wellness and Counseling
• Stephanie Renee Sunberg
• Sunrise Children's Services, Inc. (Lakes and Rivers Region Foster Care - Paducah)
• Superior Care Home, Inc
• Surgical Group PSC
• Daniel Sussman, M.D.
• Alexandra Sutherland
• Gayle Moss Sutherland
• Heather Sutton, APRN

• Specialist in Paducah, KY
• Providers in Paducah, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.