Carrollton Surgical Associates LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CARROLLTON SURGICAL ASSOCIATES LLC

Practice address

309 Eleventh Street
Carrollton, KY 41008

Phone

(502) 732-3299

Fax

(502) 732-8551

NPI assigned

Nov 3, 2006

Last updated

Aug 22, 2020By 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

Robin S Mastruserio

Title

Manager

Phone

(502) 732-9922

Specialties & licenses 1

Addresses

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.

• Jeannine Marie Perrenoud, D.O.

  • Surgery Physician
  • Carrollton, KY
  • NPI 1154418168
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922187475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "41008",
            "telephone_number": "502-732-3299",
            "fax_number": "502-732-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ELEVENTH STREET",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "41008",
            "telephone_number": "502-732-3299",
            "fax_number": "502-732-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASTRUSERIO",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-732-9922"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carroll County Medical Advisors LP (Carroll County Hospital)
• Carroll County Medical Advisors,L.P. (Carroll County Hospital Er Physicains)
• Carrollton Chiropractic PSC
• Carrollton Internal Medicine PSC
• Carrollton Medical Associates
• Christine Marie Caskey, FNP-C
• Barbara Catt, BA
• CCMH Corporation (Carroll County Memorial Hospital Swing Bed Unit)
• CCMH Corporation (Carroll County Memorial Hospital)
• CCMH Corporation (Empowered Living)

• Surgery Physician in Carrollton, KY
• Providers in Carrollton, KY by specialty
• Surgery Physician in Kentucky

• 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.