SOUTHERN KENTUCKY SURGICAL, PLLC (NPI# 1902092406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902092406 |
| Entity Type | Organization |
| Organization Name | SOUTHERN KENTUCKY SURGICAL, PLLC |
| Other Organization Name | SOUTHERN KENTUCKY ENDOSCOPY CENTER |
| Practice Address |
1848 Lyda Ave Bowling Green KY 42104-3361 |
| Mailing Address |
Po Box 51805 Bowling Green KY 42102-6805 |
| Practice Telephone | 2708461500 |
| Practice Fax Number | 2708461577 |
| Mailing Telephone | 2708461500 |
| Mailing Fax Number | 2708461577 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |
| Authorized Official Name | DANNY L HARRISON (OWNER) |
| Authorized Official Telephone | 2708461500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southern Kentucky Endoscopy Center | Doing Business As Name - Organization |
| Street Address |
1848 LYDA AVE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225019748 | Thomas M. Thompson | Dentist | 1848 Lyda Ave, Bowling Green, KY 42104-3361 | 2005-11-10 |
| 1386079556 | Southern Kentucky Heart Institute,psc | Specialist | 1848 Lyda Ave, Bowling Green, KY 42104-3361 | 2013-09-06 |
| 1700098290 | Frank T Schwender | Internal Medicine | 1848 Lyda Ave, Bowling Green, KY 42104-3361 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013242841 | Speech & Swallowing Specialists, LLC | Clinic/Center | 308 Mccready Ave, Louisville, KY 40206-2752 | 2009-10-13 |
| 1447886163 | Surgery Center of Kentucky | Clinic/Center | 1003 N Dupont Sq, Louisville, KY 40207-4612 | 2020-03-13 |
| 1649312547 | Diagnostic Testing Facilities, LLC | Clinic/Center | 160 N Eagle Creek Dr, Suite 202, Lexington, KY 40509-2121 | 2007-02-14 |
| City | BOWLING GREEN |
| Zip Code | 42104 |
Please comment or provide details below to improve the information on SOUTHERN KENTUCKY SURGICAL, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.