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CORNERSTONE PEDIATRIC SURGERY PSC NPI 1871797753


NPI Information

NPI: 1871797753
Provider Name: CORNERSTONE PEDIATRIC SURGERY, PSC
Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
535 WELLINGTON WAY
LEXINGTON, KY
ZIP 40503
Phone: (859) 224-0801
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CORNERSTONE PEDIATRIC SURGERY, PSC is a pediatric surgery surgery in Lexington, KY. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. CORNERSTONE PEDIATRIC SURGERY, PSC NPI is 1871797753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

535 WELLINGTON WAY
LEXINGTON, KY
ZIP 40503-385
Phone: (859) 224-0801
Fax: (859) 224-0899

The provider's authorized official is Daniel A Beals .
The authorized official title is Owner and has the following contact phone number (859) 224-0801.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 5/21/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0120XSurgeryPediatric Surgery35969KENTUCKYYes

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
1000000539897OTHERKENTUCKYANTHEM

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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