MEDICARE: UNITED SURGICAL ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CN8331	OTHER	KY	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508804717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED SURGICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	870 CORPORATE DR
Second Line	:	STE. 400
City	:	LEXINGTON
State	:	KY
Zip	:	40503-5416
Country	:	US
Telephone Number	:	859-277-9436
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 BOB O LINK DR
Second Line	:	STE. 120
City	:	LEXINGTON
State	:	KY
Zip	:	40504-3759
Country	:	US
Telephone Number	:	859-277-3737
Fax Number	:

Authorized Official
Title or Position	:	BILLING MGR
Name	:	CHERYL REICHEL
Credential	:
Telephone Number	:	859-278-4960

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	09/24/2018

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Directions to “UNITED SURGICAL ASSOCIATES ” Practice Location

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