Organization Active NPI

Santos Medical Services, Inc

  • Internal Medicine Physician
  • Campton, KY
National Provider Identifier
1972651263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32898 Issued in KY
Legal business name
SANTOS MEDICAL SERVICES, INC
Practice address
325 Campbell Hill Road
Campton, KY 41301-0157
Phone
(606) 668-9540
NPI assigned
Jan 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edwin Magarro Santos, M.D.NPI 1689652281
Title
President
Phone
(606) 668-9540

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 32898 KY Primary

Addresses

Primary practice location

325 Campbell Hill Road
Campton, KY 41301-0157

Mailing address

325 Campbell Hill Road
Campton, KY 41301-0157
Phone (606) 668-9540

Other identifiers 1

IdentifierTypeStateIssuer
6432898200MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040911000130 KY Part B Supplier - Clinic/Group Practice 0446227300 Receives reassigned benefits from 1 practitioner
Practice locations: Campton, KY

National Provider Directory

National Provider Directory

Locations

246 E Main St
Beattyville, KY 41311
Phone (502) 568-7827

850 Ky 191
Campton, KY 41301
Phone (606) 349-6181

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972651263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CAMPBELL HILL ROAD",
            "city": "CAMPTON",
            "state": "KY",
            "postal_code": "413010157",
            "telephone_number": "606-668-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CAMPBELL HILL ROAD",
            "city": "CAMPTON",
            "state": "KY",
            "postal_code": "413010157",
            "telephone_number": "606-668-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOS MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "MAGARRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-668-9540",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "32898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6432898200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campton, KY

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.