Individual provider Active NPI

Beatrix Anna Slomiany, MD, PHD

  • Surgery Physician
  • Versailles, KY
National Provider Identifier
1942336508
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
44886 Issued in KY
Practice address
360 Amsden Ave
Suite 302
Versailles, KY 40383-1851
Phone
(859) 879-2419
Fax
(859) 873-4990
NPI assigned
Feb 26, 2007
Last updated
May 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R0925 KY
Surgery Physician 208600000X 44886 KY Primary

Addresses

Primary practice location

360 Amsden Ave
Suite 302
Versailles, KY 40383-1851

Mailing address

360 Amsden Ave
Suite 302
Versailles, KY 40383-1851
Phone (859) 879-2419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120120000813 KY Practitioner - General Surgery 7618144346 Reassigns benefits to 1 organization
I20140226001335 IN Practitioner - General Surgery 7618144346 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R0925KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nautilus Health Care Group, PLC Surgery CurrentSince Apr 17, 2016 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

3900 Kresge Way
Louisville, KY 40207
Phone (502) 259-4470

353 Bogle St
Somerset, KY 42503
Phone (606) 451-3820

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1942336508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 AMSDEN AVE",
            "address_2": "SUITE 302",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831851",
            "telephone_number": "859-879-2419",
            "fax_number": "859-873-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 AMSDEN AVE",
            "address_2": "SUITE 302",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831851",
            "telephone_number": "859-879-2419",
            "fax_number": "859-873-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOMIANY",
        "first_name": "BEATRIX",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "R0925",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "44886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Versailles, KY

Sources for this page

Verify at the official NPI Registry.