NPIMap

Organization Active NPI

Glasgow Surgical Associates PSC

  • Specialist
  • Glasgow, KY
National Provider Identifier
1902956949
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
27369 Issued in KY
Legal business name
GLASGOW SURGICAL ASSOCIATES PSC
Practice address
1216 B North Race Street
Glasgow, KY 42141
Phone
(270) 651-9408
Fax
(270) 651-6023
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Michael Todd Marion, MDNPI 1861542805
Title
Owner
Phone
(270) 651-9408

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 27369 KY Primary

Addresses

Primary practice location

1216 B North Race Street
Glasgow, KY 42141

Mailing address

PO Box 818
Glasgow, KY 42142-0818
Phone (270) 651-9408

Other identifiers 3

IdentifierTypeStateIssuer
000000046145OtherKYKENTUCKY ACCESS
000000046145OtherKYBLUE CROSS & BLUE SHIELD
64273691MedicaidKY

National Provider Directory

National Provider Directory

Locations

1216B N Race St
Glasgow, KY 42141
Phone (207) 651-9408

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1902956949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421420818",
            "telephone_number": "270-651-9408",
            "fax_number": "270-651-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 B NORTH RACE STREET",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "42141",
            "telephone_number": "270-651-9408",
            "fax_number": "270-651-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASGOW SURGICAL ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "MARION",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-651-9408",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "27369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY ACCESS",
            "identifier": "000000046145",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "000000046145",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64273691",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.