CMS-1500 Box 24J / 33a • NPI
1134484892
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207RC0000X (CMS 06)
Board-Certified Cardiologist (Heart & Blood Vessel Specialist)
Box 32 Service Location & ZIP+4
613 23RD ST STE 210, ASHLAND, KY, 41101-2868
✓ 9-Digit EDI 837 ZIP+4 (41101-2868)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1134484892 (KINGS DAUGHTERS MEDICAL SPECIALTIES INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1134484892 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | KINGS DAUGHTERS MEDICAL SPECIALTIES INC. |
| Plain-English Specialty | Board-Certified Cardiologist (Heart & Blood Vessel Specialist) NUCC Code: 207RC0000X (Internal Medicine, Cardiovascular Disease) |
| Certifying / Licensing Body | American Board of Internal Medicine — Cardiovascular Disease |
| Practice Location Address | 613 23RD ST STE 210, ASHLAND, KY, 41101-2868 |
| Practice Telephone / Fax | Tel: (606) 326-9847 | Fax: (606) 324-3418 |
| Administrative Mailing Address | PO BOX 2379, ASHLAND, KY, 41105-2379 |
| Enumeration & Last Sync | Enumerated: 2012-07-09 | CMS Record Updated: 2024-10-15 |
| Authorized Official | SARA MARKS (CEO/PRESIDENT) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RC0000X)
What Does Taxonomy Code 207RC0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0000X translates to:
"Board-Certified Cardiologist (Heart & Blood Vessel Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KINGS DAUGHTERS MEDICAL SPECIALTIES INC.)
Typical CPT / Diagnostic Procedures:- Transthoracic Doppler Echocardiography (TTE — CPT 93306)
- 12-Lead Electrocardiogram (ECG) & Holter / Event Arrhythmia Monitoring
- Exercise Treadmill & Myocardial Perfusion Nuclear Stress Testing
- Diagnostic Coronary Angiography & Percutaneous Coronary Intervention (PCI)
- High-Intensity Statins (Atorvastatin, Rosuvastatin) & Ezetimibe
- Beta-Blockers (Metoprolol Succinate, Carvedilol, Bisoprolol)
- Sacubitril/Valsartan, Empagliflozin & Spironolactone (Heart Failure GDMT)
- Apixaban, Rivaroxaban & Clopidogrel (Atrial Fibrillation & Stent Thrombosis Prevention)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RC0000X — Internal Medicine, Cardiovascular DiseasePlain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist) | State: N/A | License: Verified | Primary: Yes (Primary) |
207RC0001X — Internal Medicine, Clinical Cardiac ElectrophysiologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: N/A | License: Verified | Primary: Secondary |
207RI0011X — Internal Medicine, Interventional CardiologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: N/A | License: Verified | Primary: Secondary |
207RI0200X — Internal Medicine, Infectious DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: N/A | License: Verified | Primary: Secondary |
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: N/A | License: Verified | Primary: Secondary |
2085R0204X — Radiology, Vascular & Interventional RadiologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology | State: N/A | License: Verified | Primary: Secondary |
2086S0129X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery | State: N/A | License: Verified | Primary: Secondary |
208G00000X — Thoracic Surgery (Cardiothoracic Vascular Surgery)Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery) | State: N/A | License: Verified | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: N/A | License: Verified | Primary: Secondary |
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: N/A | License: Verified | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: N/A | License: Verified | Primary: Secondary |
363LA2200X — Nurse Practitioner, Adult HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health | State: N/A | License: Verified | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: N/A | License: Verified | Primary: Secondary |
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