THE MEDICAL SPECIALISTS OF KY, PSC

Provider Demographics

• NPI: 1487648200
• Name: THE MEDICAL SPECIALISTS OF KY, PSC
• Entity Type: Organization
• Organization Name: THE MEDICAL SPECIALISTS OF KY, PSC
• Authorized Official - Title/Position: CEO, MANAGING PARTNER
• Authorized Official - First Name: SATYABRATA
• Authorized Official - Last Name: CHATTERJEE
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 606-864-4040
• Mailing Address - Street 1: 1210 W 5TH ST
• Mailing Address - City: LONDON
• Mailing Address - State: KY
• Mailing Address - Zip Code: 40741-2112
• Mailing Address - Country: US
• Mailing Address - Phone: 606-864-4040
• Mailing Address - Fax: 606-864-3500
• Practice Address - Street 1: 1210 W 5TH ST
• Practice Address - City: LONDON
• Practice Address - State: KY
• Practice Address - Zip Code: 40741-2112
• Practice Address - Country: US
• Practice Address - Phone: 606-864-4040
• Practice Address - Fax: 606-864-3500
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2005-09-08
• Last Update Date: 2008-04-04

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207RC0000X	Allopathic & Osteopathic Physicians	Internal Medicine	Cardiovascular Disease	Group - Multi-Specialty
No	207RC0001X	Allopathic & Osteopathic Physicians	Internal Medicine	Clinical Cardiac Electrophysiology	Group - Multi-Specialty
No	207RC0200X	Allopathic & Osteopathic Physicians	Internal Medicine	Critical Care Medicine	Group - Multi-Specialty
No	207RG0100X	Allopathic & Osteopathic Physicians	Internal Medicine	Gastroenterology	Group - Multi-Specialty
No	207RH0003X	Allopathic & Osteopathic Physicians	Internal Medicine	Hematology & Oncology	Group - Multi-Specialty
No	207RI0011X	Allopathic & Osteopathic Physicians	Internal Medicine	Interventional Cardiology	Group - Multi-Specialty
No	207RP1001X	Allopathic & Osteopathic Physicians	Internal Medicine	Pulmonary Disease	Group - Multi-Specialty
No	2084N0400X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Neurology	Group - Multi-Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant		Group - Multi-Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
KY	209345	Other	FEDERAL BLACK LUNG NUMBER
KY	65925935	Medicaid
KY	7840	Medicare PIN
KY	5796	Medicare PIN
KY	6898	Medicare PIN
KY	65925935	Medicaid
KY	7704	Medicare PIN
KY	209345	Other	FEDERAL BLACK LUNG NUMBER
KY	7687	Medicare PIN
KY	CA5576	Medicare PIN
KY	9369	Medicare PIN
KY	9655	Medicare PIN
KY	7268	Medicare PIN
KY	9136	Medicare PIN
KY	9308	Medicare PIN
KY	9385	Medicare PIN
KY	3058	Medicare PIN
KY	7686	Medicare PIN
KY	00035	Medicare PIN