SELECT SPECIALTY HOSPITAL - NORTHERN KENTUCKY, LLC
NPI 1700135050
Hospitalist in Fort Thomas, KY

Q: What is Select Specialty Hospital - Northern Kentucky, LLC's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since August 31, 2012CLIA 18D1020982 · Waiver

85 NORTH GRAND AVE, FORT THOMAS, KY 41075(859) 572-3880(859) 912-6003 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Select Specialty Hospital - Northern Kentucky, Llc NPPES

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

SELECT SPECIALTY HOSPITAL - NORTHERN KENTUCKY, LLC (NPI 1700135050) is a healthcare organization registered as a hospitalist in Fort Thomas, Kentucky and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists John Duggan, Vice President, as its authorized official.

NPPES Registry Identity

NPI1700135050

Entity TypeOrganization

Primary Taxonomy208M00000X

Legal Business NameSELECT SPECIALTY HOSPITAL - NORTHERN KENTUCKY, LLC

Location Address85 NORTH GRAND AVEFort Thomas, KY 41075-1793

Mailing Address4714 Gettysburg Road, LegalMechanicsburg, PA 17055-4325 · (717) 972-1100 · Fax (717) 975-9981

Phone(859) 572-3880

Fax(859) 912-6003

Organization SubpartNo

Authorized OfficialJohn DugganVice President · (717) 972-1100

Enumeration DateAugust 31, 2012

Last NPPES UpdateSeptember 10, 2025

NPPES CertifiedSeptember 10, 2025

✔ NPI 1700135050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D1020982

Select Specialty Hospital - Northern Kentucky, LLC · Fort Thomas, KY

Active · expires Jan 7, 2028

CLIA Number18D1020982

Laboratory TypeHospital

Certificate Effective DateJanuary 8, 2026

Certificate Expiration DateJanuary 7, 2028

Laboratory DirectorDr. Dhanunjay Boyalakuntla

Laboratory Phone(859) 572-3880

Laboratory LocationSelect Specialty Hospital - Northern Kentucky, LLC85 North Grand Avenue, Fort Thomas, KY 41075

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CHRISTOPHER BANNER CRNA

Nurse Anesthetist, Certified Registered

85 NORTH GRAND AVE
FORT THOMAS, KY 41075

Campbell County (859) 572-3232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Select Specialty Hospital - Northern Kentucky, LLC's NPI number?

The NPI number for Select Specialty Hospital - Northern Kentucky, LLC is 1700135050. It was assigned to this organization in the NPPES registry on August 31, 2012.

Where is Select Specialty Hospital - Northern Kentucky, LLC located?

Select Specialty Hospital - Northern Kentucky, LLC is located at 85 North Grand Ave, Fort Thomas, KY 41075. The listed phone number is (859) 572-3880.

What is Select Specialty Hospital - Northern Kentucky, LLC's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Does Select Specialty Hospital - Northern Kentucky, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1020982) is associated with this NPI, valid through January 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Select Specialty Hospital - Northern Kentucky, LLC was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.