Southeast Kentucky Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

34018 Issued in KY

Legal business name

SOUTHEAST KENTUCKY CLINIC

Practice address

402 Bogle St
Suite 2
Somerset, KY 42503-2870

Phone

(606) 679-1189

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Yasser NadimNPI 1477505634

Title

President

Phone

(606) 679-1189

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Yasser A Nadim, M.D.

  • Orthopaedic Surgery Physician
  • Somerset, KY
  • NPI 1477505634

  Specialist

  NPD (past) Authorized official
• Khaled Saleh, M.D.

  • Cardiovascular Disease Physician
  • Corbin, KY
  • NPI 1689767543

  Specialist

  NPD (past)
• Lisa K Deeds, NP

  • Family Nurse Practitioner
  • Pennington Gap, VA
  • NPI 1518915180
  NPD (past)
• Zakir Hussain Halai, MD

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1629076807
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982703617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BOGLE ST",
            "address_2": "SUITE 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032870",
            "telephone_number": "606-679-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BOGLE ST",
            "address_2": "SUITE 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032870",
            "telephone_number": "606-679-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST KENTUCKY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NADIM",
        "authorized_official_first_name": "YASSER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-679-1189"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "34018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65933681",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Somerset Vision Center
• Somerset Wellness Clinic LLC
• Somerview Personal Care Home, Inc
• Somerwoods SNF Operations LLC
• Angela Marie Souders, TCADC
• Southeastern Medical Supply LLC
• Southern Hearing Aid, Inc.
• Southern Kentucky Eye Center PSC
• Southern Kentucky Therapy LLC
• Southern Kentucky Vascular ASC PLLC

• Specialist in Somerset, KY
• Providers in Somerset, KY by specialty
• Specialist in Kentucky

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.