Healthcare Provider Details

I. General information

NPI: 1841696739
Provider Name (Legal Business Name): COMPASS EMERGENCY PHYSICIANS PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2014
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL VILLAGE DR
EDGEWOOD KY
41017-3403
US

IV. Provider business mailing address

PO BOX 638685
CINCINNATI OH
45263-8685
US

V. Phone/Fax

Practice location:
  • Phone: 859-301-2250
  • Fax:
Mailing address:
  • Phone: 859-572-3617
  • Fax: 833-643-8146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. HIEN LE
Title or Position: VICE PRESIDENT
Credential: MD
Phone: 859-572-3617