Organization
ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE OF KY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D CERVONI MD (MANAGER)
(859) 624-4110
Entity
Organization
Contact information
Practice address
789 EASTERN BYP STE 5, RICHMOND, KY 40475-2407
(859) 624-4110
(859) 624-1968
Mailing address
789 EASTERN BYP STE 5, RICHMOND, KY 40475-2407
(859) 624-4110
(859) 624-1968
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000311396
BLUECROSS BLUESHIELD
KY
05
—
65940025
—
KY
01
—
DB5273
TRAVELERS MEDICARE
KY
Enumeration date
02/28/2007
Last updated
06/11/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up