Healthcare Provider Details

I. General information

NPI: 1124001714
Provider Name (Legal Business Name): SURGICAL ASSOCIATES OF LEXINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 05/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 HARRODSBURG RD SUITE B-275
LEXINGTON KY
40504-3751
US

IV. Provider business mailing address

1401 HARRODSBURG RD SUITE B-275
LEXINGTON KY
40504-3751
US

V. Phone/Fax

Practice location:
  • Phone: 859-278-2334
  • Fax: 859-278-0159
Mailing address:
  • Phone: 859-278-2334
  • Fax: 859-278-0159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number StateKY

VIII. Authorized Official

Name: DR. MICHAEL E. SEKELA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 859-278-2334