CENTRAL KENTUCKY SURGICAL SERVICES LLC
NPI 1689701997
Nurse Practitioner in Campbellsville, KY

NPI Status: Active since February 27, 2007

Contact Information

1700 OLD LEBANON RD
CAMPBELLSVILLE, KY
ZIP 42718
Phone: (270) 465-2521

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  • Organization
  • Nurse Practitioner

About CENTRAL KENTUCKY SURGICAL SERVICES LLC

This page provides the complete NPI Profile along with additional information for Central Kentucky Surgical Services Llc, a provider established in Campbellsville, Kentucky operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1689701997 assigned on February 2007. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Susan A. Shively (Owner)

NPI
1689701997
Provider Name
CENTRAL KENTUCKY SURGICAL SERVICES LLC
Entity Type
Organization
Location Address
1700 OLD LEBANON RD CAMPBELLSVILLE, KY 42718
Location Phone
(270) 465-2521
Mailing Address
803 LEBANON AVE CAMPBELLSVILLE, KY 42718
Mailing Phone
(270) 465-2521
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2007
Last Update Date
08-17-2007
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A nurse practitioner (NP) like Central Kentucky Surgical Services Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN A. SHIVELY

Authorized Official Title
OWNER
Authorized Official Phone

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00242MEDICARE PIN (08)KY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689701997
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691402918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 4 + 0 + 2 + 9 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1689701997 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659342178TAYLOR COUNTY ANESTHESIA PSC
Organization
Anesthesiology1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 932-3694
1215905856CAMPBELLSVILLE EMERGENCY GROUP LLC
Organization
Emergency Medicine1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 465-3561
1346204732DR. GARY M FRAZIER MD
Individual
Anesthesiology1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 932-3694
1932157120TAYLOR REGIONAL MEDICAL GROUP
Organization
Psychiatry & Neurology (Psychiatry)1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 465-3561
1548215437TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION
Organization
Home Health1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 465-6341
1306891387DR. SPIRO POLYHRONOPOULOS MD
Individual
Emergency Medicine1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 692-6355
1740236942DR. ANTHONY P HAYDEN MD
Individual
Specialist1700 OLD LEBANON RD TAYLOR COUNTY HOSPITAL
CAMPBELLSVILLE, KY 42718
(800) 282-9221
1316993538DR. CURTIS E MANNING MD
Individual
Specialist1700 OLD LEBANON RD TAYLOR COUNTY HOSPITAL
CAMPBELLSVILLE, KY 42718
(800) 282-9221
1235145145DR. JENNIFER L FRIEND MD
Individual
Emergency Medicine1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 384-9491
1689761942TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION
Organization
General Acute Care Hospital1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 465-3561
1477757151TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION
Organization
General Acute Care Hospital1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 465-3561
1750544946DR. JAMES BRANDON FRANK D.O
Individual
Internal Medicine1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 789-6082
1982841946 JENNIFER CAROLE BOILS CRNA
Individual
Nurse Anesthetist, Certified Registered1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 465-3561
1467693812MRS. CAROL G KIRTLEY LMT
Individual
Massage Therapist1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 465-3561
1689062036 ANDREW HANCOCK CRNA
Individual
Nurse Anesthetist, Certified Registered1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 932-3694
1205226933TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION
Organization
Pharmacy (Community/Retail Pharmacy)1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 465-3561
1821405473 JO LISA GENSLEY PA-C
Individual
Physician Assistant1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 465-3561
1679576342DR. TANYA M HAYES M.D.
Individual
Internal Medicine1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 789-6082
1750652186MS. NICOLE MARIE JUHASZ CRNA
Individual
Nurse Anesthetist, Certified Registered1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
(270) 932-3694
1891749289TAYLOR COUNTY RADIOLOGY, PSC
Organization
Specialist1700 OLD LEBANON RD TAYLOR COUNTY HOSPITAL
CAMPBELLSVILLE, KY 42718
(800) 282-9221

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689701997, enumerated in the NPI registry as an "organization" on February 27, 2007

The provider is located at 1700 Old Lebanon Rd Campbellsville, Ky 42718 and the phone number is (270) 465-2521

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.