Advanced Orthopaedics and Sports Medicine of Ky PLLC
Organization Active NPI Sports Medicine (Orthopaedic Surgery) Physician · Richmond, KY
NPI 1992832679 · NPPES record last updated Jun 11, 2010
Key facts
- NPI
- 1992832679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- Legal business name
- ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE OF KY PLLC
- Practice address
- 789 Eastern Byp Ste 5
Richmond, KY 40475-2407 - Phone
- (859) 624-4110
- Fax
- (859) 624-1968
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas D Cervoni, MD
- Title
- Manager
- Phone
- (859) 624-4110
Practitioners 10
-
Kristopher Todd Abeln, M.D.
-
Susan J. Essing-Spiller, APRN
-
Rashid Faiyaz, M.D.
-
Natalie N. Lane, FNP
-
Natasha Elizabeth Railton, MS, RD, LD
-
T Joseph D Spires, DPM
National Provider Directory
Locations
95 Bryan Blvd
Ste 103
Corbin, KY 40701
Phone (606) 523-1570
1023 Sanibel Way
Lagrange, KY 40031
Phone (502) 222-3302
1720 Nicholasville Rd
Ste 506
Lexington, KY 40503
Phone (859) 260-6326
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician |
207XX0005X | Yes |
Addresses
Primary practice location
789 Eastern Byp Ste 5
Richmond, KY 40475-2407
Mailing address
789 Eastern Byp Ste 5
Richmond, KY 40475-2407
Phone (859) 624-4110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000311396 | Other | KY | BLUECROSS BLUESHIELD |
| 65940025 | Medicaid | KY | |
| DB5273 | Other | KY | TRAVELERS MEDICARE |
Other providers in Richmond, KY
- Advanced Family Clinic
- Advanced Home Medical, LLC
- Advanced Nutrition Therapy LLC
- Advanced Nutrition Therapy, LLC
- Advanced Nutrition Therapy, LLC
- Advanced Primary & Behavioral Health LLC
- Advanced Urology, LLC
- Jana Nicolle Agee
- Agilitas USA, Inc
- Mansoor Ahmed
All providers in Richmond, KY · Sports Medicine (Orthopaedic Surgery) Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.