Provider Demographics
NPI:1508804717
Name:UNITED SURGICAL ASSOCIATES
Entity Type:Organization
Organization Name:UNITED SURGICAL ASSOCIATES
Other - Org Name:UNITED RADIATION ONCOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MGR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:REICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-278-4960
Mailing Address - Street 1:870 CORPORATE DR
Mailing Address - Street 2:STE. 400
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-5416
Mailing Address - Country:US
Mailing Address - Phone:859-277-9436
Mailing Address - Fax:
Practice Address - Street 1:701 BOB O LINK DR
Practice Address - Street 2:STE. 120
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3759
Practice Address - Country:US
Practice Address - Phone:859-277-3737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYCN8331OtherRR MEDICARE
KY65918567Medicaid
KYCN8331OtherRR MEDICARE
KY65918567Medicaid
KY9302Medicare PIN
KY00588Medicare PIN