Healthcare Provider Details

I. General information

NPI: 1790860179
Provider Name (Legal Business Name): ABRAMSON ANESTHESIOLOGY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1029 MEDICAL CENTER CIR
MAYFIELD KY
42066-1189
US

IV. Provider business mailing address

4935 STATE ROUTE 303
MAYFIELD KY
42066-7218
US

V. Phone/Fax

Practice location:
  • Phone: 270-251-4100
  • Fax:
Mailing address:
  • Phone: 573-686-5550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateKY

VIII. Authorized Official

Name: MARC ABRAMSON
Title or Position: PRESIDENT
Credential: MD
Phone: 573-686-5550