PADUCAH SURGICAL ASSOCIATES, PLLC
NPI 1609918861
Surgery in Paducah, KY

Active since February 13, 2007
2603 KENTUCKY AVE STE 304, PADUCAH, KY 42003(270) 441-7777(270) 441-7764 Get Directions Write a Review

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paducah Surgical Associates, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PADUCAH SURGICAL ASSOCIATES, PLLC (NPI 1609918861) is a healthcare organization registered as a surgery in Paducah, Kentucky and active in the NPI registry since February 2007. The organization lists Sue Ellen Petty, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609918861
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePADUCAH SURGICAL ASSOCIATES, PLLC
Location Address2603 KENTUCKY AVE STE 304Paducah, KY 42003-3829
Mailing Address2603 Kentucky Ave Ste 304Paducah, KY 42003-3829 · (270) 441-7777 · Fax (270) 441-7764
Fax(270) 441-7764
Organization SubpartNo
Authorized OfficialSue Ellen PettyCeo · (270) 441-7777
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 1, 2010
NPI 1609918861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in KY · 34383
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2603 KENTUCKY AVE STE 304, Paducah, KY 42003

Other Identifiers 4

Medicare UPINF91465KY
Medicare ID-Type Unspecified1838201KY
Other34383KY · State License
Medicaid64343833KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Nurse Specialist (Adult Health)
2603 KENTUCKY AVE STE 304
PADUCAH, KY 42003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609918861, enumerated as an "organization" on February 13, 2007.

The provider is located at 2603 KENTUCKY AVE STE 304 PADUCAH, KY 42003 and the phone number is (270) 441-7777.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.