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PADUCAH SURGICAL ASSOCIATES PLLC NPI 1609918861


NPI Information

NPI: 1609918861
Provider Name: PADUCAH SURGICAL ASSOCIATES, PLLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
2603 KENTUCKY AVE STE 304
PADUCAH, KY
ZIP 42003
Phone: (270) 441-7777
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PADUCAH SURGICAL ASSOCIATES, PLLC is a surgery in Paducah, KY. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PADUCAH SURGICAL ASSOCIATES, PLLC NPI is 1609918861. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2603 KENTUCKY AVE STE 304
PADUCAH, KY
ZIP 42003-829
Phone: (270) 441-7777
Fax: (270) 441-7764

The provider's authorized official is Sue Ellen Petty .
The authorized official title is Ceo and has the following contact phone number (270) 441-7777.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/1/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery34383KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F91465MEDICARE UPINKENTUCKY
21838201MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
334383OTHERKENTUCKYSTATE LICENSE
464343833MEDICAIDKENTUCKY

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: 4/28/2024

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