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KINGS DAUGHTERS MEDICAL SPECIALTIES - PLASTIC & RECONSTRUCTIVE SURGEON
NPI 1720397409
Plastic Surgery in Ashland, KY

Active since September 29, 2010
617 23RD ST STE 105, ASHLAND, KY 41101(606) 408-7500(606) 408-6600 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2024, Jan 11, 2019, Oct 4, 2018 (3 updates tracked since 2018).

About Kings Daughters Medical Specialties - Plastic & Reconstructive Surgeon NPPES

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

KINGS DAUGHTERS MEDICAL SPECIALTIES - PLASTIC & RECONSTRUCTIVE SURGEON (NPI 1720397409) is a healthcare organization registered as a plastic surgery in Ashland, Kentucky and active in the NPI registry since September 2010. The organization maintains a secondary practice location in Portsmouth and lists Sara Marks, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1720397409
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameKINGS DAUGHTERS MEDICAL SPECIALTIES INC
Location Address617 23RD ST STE 105Ashland, KY 41101-2890
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-2600 · Fax (606) 408-2606
Phone(606) 408-7500
Fax(606) 408-6600
Organization SubpartNo
Authorized OfficialSara MarksCeo/president · (606) 408-4401
Enumeration DateSeptember 29, 2010
Last NPPES UpdateJuly 22, 20243 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1720397409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
617 23RD ST STE 105, Ashland, KY 41101
Open in Google Maps ↗

Other Names 1

Doing Business AsKings Daughters Medical Specialties - Plastic & Reconstructive Surgeon

Secondary Practice Location 1

Location 12001 Scioto Trl Ste 200Portsmouth, OH 45662-2845 · Phone (740) 353-8100

Other Identifiers 1

Medicaid7100140330KY

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kings Daughters Medical Specialties - Plastic & Reconstructive Surgeon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20100217000538Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

594

Medicare enrollment records show 594 clinicians reassign Medicare billing to Kings Daughters Medical Specialties - Plastic & Reconstructive Surgeon, which bills Medicare for the services they deliver. Of these, 164 practice at this address and 343 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 47

Nurse Practitioner165
Certified Registered Nurse Anesthetist (CRNA)76
Anesthesiology39
Hospitalist35
Family Practice27
Pulmonary Disease17
Cardiovascular Disease (Cardiology)15
Hematology/Oncology15
39 other specialties205

Nearest to this location (20)

See all 594
Susan Aliff, APRN
Nurse Practitioner
NPI 1013348556
617 23RD ST STE 19
Ashland, KY 41101
(606) 325-2221
✔ PECOS✔ Accepts MedicareSame address
Jasyn Blankenship, DO
Cardiovascular Disease (Cardiology)
NPI 1659810208
617 23RD ST STE 3
Ashland, KY 41101
(606) 408-0842
✔ PECOS✔ Accepts MedicareSame address
Leon Briggs, MD
Pain Management
NPI 1255345955
617 23RD ST STE 8B
Ashland, KY 41101
(606) 408-1290
✔ PECOS✔ Accepts MedicareSame address
Melinda Crisp, LCSW
Clinical Social Worker
NPI 1558640862
617 23RD ST STE 8B
Ashland, KY 41101
(606) 408-1290
✔ PECOSSame address
James Detherage, MD
Family Practice
NPI 1881608867
617 23RD ST STE 212
Ashland, KY 41101
(606) 408-8485
✔ PECOS✔ Accepts MedicareSame address
Yoni Dokko, M.D.
Neurology
NPI 1518963636
617 23RD ST STE 400
Ashland, KY 41101
(606) 408-2820
✔ PECOSSame address
Tony Dotson, DO
Obstetrics/Gynecology
NPI 1396728499
617 23RD STREET, SUITE 415
Ashland, KY 41101
(606) 325-6888
✔ PECOS✔ Accepts MedicareSame address
David Goebel, M.D.
Hematology/Oncology
NPI 1306845474
617 23RD ST SUITE 19
Ashland, KY 41101
(606) 325-2221
✔ PECOS✔ Accepts MedicareSame address
Mary Hughes, M.D.
Surgical Oncology
NPI 1326339573
617 23RD ST STE 19
Ashland, KY 41101
(606) 325-2221
✔ PECOS✔ Accepts MedicareSame address
Ryan Johnson, M.D.
Emergency Medicine
NPI 1023472909
617 23RD ST
Ashland, KY 41101
(606) 408-8999
✔ PECOSSame address
Natalie Martin, APRN, CNM
Certified Nurse Midwife (CNM)
NPI 1275214058
617 23RD ST STE 415
Ashland, KY 41101
(606) 325-6888
✔ PECOS✔ Accepts MedicareSame address
Jennifer Murphy, DO
Interventional Pain Management
NPI 1588124218
617 23RD ST STE 8B
Ashland, KY 41101
(606) 408-1290
✔ PECOS✔ Accepts MedicareSame address
Peter Ray, MD
Plastic and Reconstructive Surgery
NPI 1477505956
617 23RD ST STE 105
Ashland, KY 41101
(606) 408-7500
✔ PECOS✔ Accepts MedicareSame address
James Rosier, PSY.D.
Clinical Psychologist
NPI 1689229288
617 23RD ST STE 400
Ashland, KY 41101
(606) 408-2820
✔ PECOS✔ Accepts MedicareSame address
Tanya Warwick, M.D.
Neuropsychiatry
NPI 1083648307
617 23RD ST STE 400
Ashland, KY 41101
(606) 408-2820
✔ PECOS✔ Accepts MedicareSame address
Evin Guilliams, D.O.
Neurosurgery
NPI 1497287734
617 23RD ST STE 106
Ashland, KY 41101
(606) 329-1770
✔ PECOS✔ Accepts MedicareSame address
Omran Abul-Khoudoud, MD, FACS, RVT
Vascular Surgery
NPI 1083664254
613 23RD ST STE 520
Ashland, KY 41101
(606) 326-1675
✔ PECOS✔ Accepts MedicareSame address
George Aitken, MD
Orthopedic Surgery
NPI 1053322321
613 23RD ST STE G30
Ashland, KY 41101
(606) 327-0036
✔ PECOS✔ Accepts MedicareSame address
Moussa Alhaj, M.D.
Endocrinology
NPI 1629029368
613 23RD ST STE 340
Ashland, KY 41101
(606) 326-9441
✔ PECOS✔ Accepts MedicareSame address
Hala Alshayeb, MD
Nephrology
NPI 1942400452
613 23RD ST STE 510
Ashland, KY 41101
(606) 329-9335
✔ PECOS✔ Accepts MedicareSame address
See all 594 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kings Daughters Medical Specialties Inc's NPI number?

The NPI number for Kings Daughters Medical Specialties Inc is 1720397409. It was assigned to this organization in the NPPES registry on September 29, 2010. The provider is doing business as Kings Daughters Medical Specialties - Plastic & Reconstructive Surgeon.

Where is Kings Daughters Medical Specialties Inc located?

Kings Daughters Medical Specialties Inc is located at 617 23rd St Ste 105, Ashland, KY 41101. The listed phone number is (606) 408-7500.

What is Kings Daughters Medical Specialties Inc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Kings Daughters Medical Specialties Inc enrolled in Medicare?

Yes. Kings Daughters Medical Specialties Inc is registered in the Medicare PECOS enrollment system.

When is Kings Daughters Medical Specialties Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kings Daughters Medical Specialties Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 594 clinicians in 47 Medicare specialties reassign their Medicare billing to Kings Daughters Medical Specialties Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (165), Certified Registered Nurse Anesthetist (CRNA) (76) and Anesthesiology (39). Of these, 164 practice at this address and 343 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kings Daughters Medical Specialties Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Kings Daughters Medical Specialties Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kings Daughters Medical Specialties Inc was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.