Healthcare Provider Details

I. General information

NPI: 1104937226
Provider Name (Legal Business Name): CHARLES P CATRON PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HOSPITAL WAY SUITE 200
SOMERSET KY
42503-2872
US

IV. Provider business mailing address

350 HOSPITAL WAY SUITE 200
SOMERSET KY
42503-2872
US

V. Phone/Fax

Practice location:
  • Phone: 606-451-8340
  • Fax: 606-676-0657
Mailing address:
  • Phone: 606-451-8340
  • Fax: 606-676-0657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number33938
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA1014
License Number StateKY

VIII. Authorized Official

Name: DR. CHARLES P CATRON
Title or Position: DOCTOR
Credential: M.D.
Phone: 606-451-8340