Kentucky Surgical Assistant Services

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA-111 Issued in KY

Legal business name

KENTUCKY SURGICAL ASSISTANT SERVICES

Practice address

399 Marsee TRL
Corbin, KY 40701-8895

Phone

(606) 526-8700

NPI assigned

Sep 16, 2006

Last updated

Sep 9, 2013By 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

Terry Lee Smith, CSA, KCSANPI 1629052204

Title

Owner

Phone

(606) 526-8700

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.

• Terry Lee Smith, CSA

  • Surgical Assistant
  • Corbin, KY
  • NPI 1629052204
  NPD (past) Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1982700027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 MARSEE TRL",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018895",
            "telephone_number": "606-526-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 MARSEE TRL",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018895",
            "telephone_number": "606-526-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY SURGICAL ASSISTANT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-526-8700",
        "authorized_official_credential": "CSA, KCSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "SA-111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentucky Family Medicine
• Kentucky Institute for Eye Health & Surgery (Kentucky Eye Institute)
• Kentucky Institute for Eye Health & Surgery (Kentucky Eye Institute)
• Kentucky Institute for Eye Health & Surgery (Kentucky Eye Institute)
• Kentucky Institute for Eye Health and Surgery (Ky Eye Institute)
• Christopher Kyle Kersey, BS, MHA
• Ellen Michelle Kersey, LPCC
• Jeffrey Ryan Kersey
• Allison Nicole Key, BA
• James Tommy Key, BA

• Surgical Physician Assistant in Corbin, KY
• Providers in Corbin, KY by specialty
• Surgical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.