Provider Demographics
NPI:1124001714
Name:SURGICAL ASSOCIATES OF LEXINGTON
Entity Type:Organization
Organization Name:SURGICAL ASSOCIATES OF LEXINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:SEKELA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-278-2334
Mailing Address - Street 1:1401 HARRODSBURG RD
Mailing Address - Street 2:SUITE B-275
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3751
Mailing Address - Country:US
Mailing Address - Phone:859-278-2334
Mailing Address - Fax:859-278-0159
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:SUITE B-275
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3751
Practice Address - Country:US
Practice Address - Phone:859-278-2334
Practice Address - Fax:859-278-0159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-28
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65900375Medicaid
KY95901302Medicaid
0029196OtherUMWA
KY18D1046119OtherCLIA
KYCJ0124Medicare PIN
KY95901302Medicaid