Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 37480 | KY |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 37480 | KY |
NPI | 1134142938 |
---|---|
Provider Name | Stephen C. Umansky |
First Address | Lexington, KY 40504-3756 |
Second Address | Lexington, KY 40504-3756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 07/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200044250 | RR MEDICARE PIN (01) | |
36000818 | MEDICAID ASC GRP (01) | KY |
37903705 | MEDICAID LAB GRP (01) | KY |
4000501 | MEDICARE LAB GRP (01) | KY |
64052822 | (05) | KY |
ASC1019 | MEDICARE ASC GROUP (01) | KY |
CB5773 | RR MEDICARE GRP (01) | KY |
H47100 | (02) |