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BIG SANDY UROLOGY PSC NPI 1083641039


NPI Information

NPI: 1083641039
Provider Name: BIG SANDY UROLOGY PSC

Doing Business As: WILLIAM C. THORNDYKE

Classification: Urology - 208800000X
Entity Type: Organization
Address:
2489 HWY 644
SUITE 202
LOUISA, KY
ZIP 41230
Phone: (606) 638-1311
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BIG SANDY UROLOGY PSC is an urology in Louisa, KY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. BIG SANDY UROLOGY PSC NPI is 1083641039. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As William C. Thorndyke.

The provider's business location address is:

2489 HWY 644
SUITE 202
LOUISA, KY
ZIP 41230
Phone: (606) 638-1311
Fax: (606) 638-3739

The provider's authorized official is William Charles Thorndyke .
The authorized official title is Owner and has the following contact phone number (606) 638-1311.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 9/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology29406KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10010829000MEDICAIDWEST VIRGINIA
2CE8713MEDICARE PINKENTUCKY
35105MEDICARE PINKENTUCKY
45188137OTHERKENTUCKYAETNA
52764629MEDICAIDOHIO
6000000051680OTHERKENTUCKYANTHEM
765929366MEDICAIDKENTUCKY
8=========OTHERKENTUCKYFED TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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