Third Street Surgical Center

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

THIRD STREET SURGICAL CENTER

Practice address

236 W Main St Ste 202
Danville, KY 40422-1876

Phone

(859) 238-7746

Fax

(859) 236-0261

NPI assigned

Jun 28, 2016

Organization subpart

Yes

Parent organization

CENTRALKENTUCKY SPINE SURGERY, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Robert Paul Knetsche, M.D.NPI 1891805982

Title

Owner/Physician

Phone

(859) 238-7746

Specialties & licenses 1

Addresses

Part of

Third Street Surgical Center

Practitioners 1

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

• Robert Paul Knetsche, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Danville, KY
  • NPI 1891805982
  NPD (past) Authorized official

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1942651237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W MAIN ST STE 202",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221876",
            "telephone_number": "859-238-7746",
            "fax_number": "859-236-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W MAIN ST STE 202",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221876",
            "telephone_number": "859-238-7746",
            "fax_number": "859-236-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD STREET SURGICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRALKENTUCKY SPINE SURGERY, PLLC",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "KNETSCHE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "859-238-7746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery of the Spine Physician in Danville, KY
• Providers in Danville, KY by specialty
• Orthopaedic Surgery of the Spine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.