Provider Demographics
NPI:1831140565
Name:UNITED SURGICAL ASSOCIATES, P.S.C.
Entity type:Organization
Organization Name:UNITED SURGICAL ASSOCIATES, P.S.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
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:859-407-7737
Mailing Address - Street 1:2350 REGENCY RD STE A
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2351
Mailing Address - Country:US
Mailing Address - Phone:859-278-4960
Mailing Address - Fax:859-278-0033
Practice Address - Street 1:2350 REGENCY RD STE A
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2351
Practice Address - Country:US
Practice Address - Phone:859-278-4960
Practice Address - Fax:859-277-2840
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED SURGICAL ASSOCIATES, P.S.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-15
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65918567Medicaid
KYCF7805OtherRAILROAD MEDICARE
KY65918567Medicaid
KYCN8331OtherRAILROAD MEDICARE
KY7100001960Medicaid
KY8723Medicare PIN