Orthopedic Institute Of Western Kentucky
LBN: Southern Orthopedic Associates, S.C.
Orthopedic Institute Of Western Kentucky is an health care organization with primary practice located at 3530 Lone Oak Rd Ste A, Paducah KY 42003-5752. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Southern Orthopedic Associates, S.C. can be contacted via phone (270) 554-0505, or through Davis, Thomas W via phone (618) 997-6800.
Contact Information
Primary practice address
3530 Lone Oak Rd Ste A
Paducah KY 42003-5752
Phone: (270) 554-0505
Fax: (270) 554-0905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 36333 | Kentucky |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 042617215 | Illinois |
Profile Details
| NPI number | 1225021819 |
|---|---|
| LBN Legal business name | Southern Orthopedic Associates, S.C. |
| DBA Doing business as | Orthopedic Institute Of Western Kentucky |
| Authorized official | Davis, Thomas W Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Jan 10th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225021819 | NPPES |
| Kentucky | MEDICAID | 7100080520 |
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