NPIMap

Organization Active NPI

Nes Kentucky, Inc.

  • Emergency Medicine Physician
  • Columbia, KY
National Provider Identifier
1962790915
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NES KENTUCKY, INC.
Practice address
901 Westlake Dr
Columbia, KY 42728-1123
Phone
(270) 384-4753
NPI assigned
Jul 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Serge Martial
Title
Director
Phone
(800) 242-6711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

901 Westlake Dr
Columbia, KY 42728-1123

Mailing address

PO Box 503753
Saint Louis, MO 63150-3753
Phone (800) 377-8721

Other identifiers 1

IdentifierTypeStateIssuer
7100175520MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1962790915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503753",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631503753",
            "telephone_number": "800-377-8721",
            "fax_number": "304-697-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WESTLAKE DR",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281123",
            "telephone_number": "270-384-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NES KENTUCKY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "MARTIAL",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-242-6711"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100175520",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.