CENTRAL KENTUCKY SPINE SURGERY, PLLC (NPI# 1386806735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386806735 |
| Entity Type | Organization |
| Organization Name | CENTRAL KENTUCKY SPINE SURGERY, PLLC |
| Practice Address |
236 W Main St Ste 202 Danville KY 40422-1812 |
| Practice Telephone | 8592399680 |
| Mailing Telephone | 8592399680 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2009-11-30 |
| Authorized Official Name | ROBERT P KNETSCHE (PRESIDENT) |
| Authorized Official Telephone | 8592399680 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
42368 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
236 W MAIN ST STE 202 |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891805982 | Robert Paul Knetsche | Orthopaedic Surgery | 236 W Main St, Suite 202, Danville, KY 40422-1876 | 2006-08-30 |
| 1699225631 | Sleepers Anesthesia Services, Pllc | Nurse Anesthetist, Certified Registered | 236 W Main St, Suite 202, Danville, KY 40422-1876 | 2016-10-13 |
| 1407006760 | Kentucky Interventional Spine | Physical Medicine & Rehabilitation | 236 W Main St, Suite 203, Danville, KY 40422-1876 | 2008-09-23 |
| 1598927709 | Bluegrass Brace Shop, LLC | Durable Medical Equipment & Medical Supplies | 236 W Main St, Suite 201, Danville, KY 40422-1812 | 2008-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891805982 | Robert Paul Knetsche | Orthopaedic Surgery | 236 W Main St, Suite 202, Danville, KY 40422-1876 | 2006-08-30 |
| 1942651237 | Third Street Surgical Center | Orthopaedic Surgery | 236 W Main St Ste 202, Danville, KY 40422-1876 | 2016-06-28 |
| 1134537178 | Vikram Talwar Md Incorporated | Orthopaedic Surgery | 1320 El Capitan Dr, Suite 200, Danville, CA 94526-6258 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902225386 | Jonathan A. Kark | Orthopaedic Surgery | Uk Orthopedic Surgery and Sports Medicine Clinic, 125 E Maxwell Ste 201, Lexington, KY 40508-2678 | 2014-04-14 |
| 1982879607 | Jeffrey Lynn Gum | Orthopaedic Surgery | 210 East Gray Street, Louisville, KY 40202-1902 | 2008-04-23 |
| 1740391473 | Mark L. Crawford | Orthopaedic Surgery | 1333 Lone Oak Rd, Paducah, KY 42003-5092 | 2006-08-31 |
| 1518967371 | Michael Thomas Casnellie | Orthopaedic Surgery | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2005-07-22 |
| 1316942006 | David P Rouben | Orthopaedic Surgery | 8620 Biggin Hill Ln, Louisville, KY 40220 | 2005-06-17 |
| 1467456855 | Mark A Myers | Orthopaedic Surgery | 1741 Midland Trl, Shelbyville, KY 40065-1711 | 2005-06-13 |
| 1073133054 | Joseph Laratta Md Spine Surgeon, LLC | Orthopaedic Surgery | 1169 Eastern Pkwy Ste 400, Louisville, KY 40217-1412 | 2020-04-20 |
| 1760995443 | David P Rouben Md Psc | Orthopaedic Surgery | 8620 Biggin Hill Ln, Louisville, KY 40220 | 2017-11-16 |
| 1821507005 | Mikhail Lew Perez Ver | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2017-09-20 |
| 1982019998 | Kimona Issa | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2014-06-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CENTRAL KENTUCKY SPINE SURGERY, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.