South Central Ky Orthopedics PSC

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

SOUTH CENTRAL KY ORTHOPEDICS PSC

Practice address

106 Columns Plaza Dr
Glasgow, KY 42141

Phone

(270) 651-9390

Fax

(270) 651-8698

NPI assigned

Jan 25, 2007

Last updated

Mar 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Leslie Williams

Title

Office Manager

Phone

(270) 651-9390

Specialties & licenses 3

Addresses

Other identifiers 9

Other names 1

• Reddy & Lessenberry PSC Former legal business name

Locations

Practitioners 1

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.

• Stephen Matthew Rose, M.D.

  • Orthopaedic Surgery Physician
  • Gallatin, TN
  • NPI 1972506145

  Legal Medicine

  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1881740843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COLUMNS PLAZA DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421418068",
            "telephone_number": "270-651-9390",
            "fax_number": "270-651-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 COLUMNS PLAZA DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "42141",
            "telephone_number": "270-651-9390",
            "fax_number": "270-651-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL KY ORTHOPEDICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-651-9390",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100399620",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134122336",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64220510",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100294280",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407859630",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972506145",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64049240",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64205321",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC1655",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reddy & Lessenberry PSC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Reddy & Lessenberry PSC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tiffany Brooke Smith, APRN
• Whitney Brooks Smith, PT
• Soky Bites and Babble, LLC
• Alexander Kwadwo Somuah, PHARMD
• South Central Kentucky Orthopedics
• Southern Kentucky Anesthesia Services PSC
• Southern Kentucky Anesthesia, LLC
• Southern Kentucky Hearing Aid Specialist
• Southern Kentucky Hearing Aid Specialist, Inc
• Southern Medical Laboratories Inc

• Legal Medicine in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Legal Medicine in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.