Organization Active NPI

Buffalo Trace Ear, Nose & Throat Center

  • Specialist
  • Maysville, KY
National Provider Identifier
1871673046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
34006187S Issued in KY
Legal business name
BUFFALO TRACE EAR, NOSE & THROAT CENTER
Practice address
1925 Old Main St
Suite 1
Maysville, KY 41056-8984
Phone
(606) 759-5286
Fax
(606) 759-5773
NPI assigned
Oct 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alfred M Sassler, DONPI 1578545752
Title
President
Phone
(606) 759-5286

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)CodeLicenseStatePrimary
Specialist 174400000X 34006187S KY Primary

Addresses

Primary practice location

1925 Old Main St
Suite 1
Maysville, KY 41056-8984

Mailing address

4980 Aa Hwy N
Foster, KY 41043-9271
Phone (606) 747-5077

Other identifiers 3

IdentifierTypeStateIssuer
64024201MedicaidKY
000000050862OtherKYANTHEM ID NUMBER
0986107MedicaidOH

National Provider Directory

National Provider Directory

Locations

1925 Old Main St
Ste 1
Maysville, KY 41056
Phone (606) 759-4719

991 Medical Park Dr
Ste 200
Maysville, KY 41056
Phone (606) 759-5286

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871673046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 AA HWY N",
            "city": "FOSTER",
            "state": "KY",
            "postal_code": "410439271",
            "telephone_number": "606-747-5077",
            "fax_number": "606-759-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 OLD MAIN ST",
            "address_2": "SUITE 1",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568984",
            "telephone_number": "606-759-5286",
            "fax_number": "606-759-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO TRACE EAR, NOSE & THROAT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SASSLER",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-759-5286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "34006187S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64024201",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID NUMBER",
            "identifier": "000000050862",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0986107",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.