Active NPI
Southern Kentucky Surgical, PLLC
- Endoscopy Clinic/Center
- Bowling Green, KY
National Provider Identifier
1902092406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- Legal business name
- SOUTHERN KENTUCKY SURGICAL, PLLC
- Practice address
- 1848 Lyda Ave
Bowling Green, KY 42104-3361 - Phone
- (270) 846-1500
- Fax
- (270) 846-1577
- NPI assigned
- Sep 18, 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
- Danny L Harrison, MD
- Title
- Owner
- Phone
- (270) 846-1500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | Primary |
Addresses
Primary practice location
1848 Lyda Ave
Bowling Green, KY 42104-3361
Mailing address
PO Box 51805
Bowling Green, KY 42102-6805
Phone (270) 846-1500
Other names 1
- Southern Kentucky Endoscopy Center
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/22983/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Bowling Green, KY
- NPI 1295885309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190073600000",
"number": "1902092406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51805",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421026805",
"telephone_number": "270-846-1500",
"fax_number": "270-846-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1848 LYDA AVE",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043361",
"telephone_number": "270-846-1500",
"fax_number": "270-846-1577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN KENTUCKY SURGICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2007-09-18",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "DANNY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-846-1500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Kentucky Endoscopy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bowling Green, KY
- Southern Kentucky Medicine Associates, LLC
- Southern Kentucky Mobile Medical Services
- Southern Kentucky Nephrology Associates PSC
- Southern Kentucky Oral Surgery Associates PLLC
- Southern Kentucky Speech Therapy
- Southern Kentucky Surgicenter, LLC
- Southern Kentucky Urology LLC
- Southern Ky Nephrology
- Kara Southwood
- Brittany Leigh Sowders, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.