Lexington Diabetic Center Psc, NPI 1356499602
Point of Service in Lexington, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1356499602
NPI Entity Type Organization
Provider Name Lexington Diabetic Center Psc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3292 Eagle View Ln, Suite 210, Lexington, KY, US
Provider Mailing Address 3292 Eagle View Ln, Suite 210, Lexington, KY, US, 405092173
Is Sole Proprietor? No
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Organization Official

Official Name Michael C. Allen
Official Position CEO
Phone 859-977-8855

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

305S00000X

Taxonomy Name Point of Service
Classification

Point of Service

Group

Managed Care Organizations

License No. 39043
License State KY
Description This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Business Address

Lexington Diabetic Center Psc
3292 Eagle View Ln
Suite 210

Lexington, KY, US

Phone: 859-977-8855
Fax: 859-977-8856

Mailing Address

Lexington Diabetic Center Psc
3292 Eagle View Ln
Suite 210
Lexington, KY, US
ZIP 405092173
Phone: 859-977-8855
Fax: 859-977-8856

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363LF0000X

Physician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

KY No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
P00404838 KY TG LDC RAILROAD PIN 01
64313646 KY MEDICAID 05
1285781682 KY TOSHA NPI 01
64094485 KY MEDICAID 05
DD2844 KY TG LDC RR GRP 01
65946022 KY MEDICAID 05
000000545010 TG ANTHEM LDC 01

Other Providers in KY, US

NPI Name Taxonomy Address

1568107415

MRS. OTR/L Sarah Elizabeth Seigh

Individual

Occupational Therapist

310b S Keeneland Dr

Richmond, KY

1144868498

DOULA Loran Marie Bernert

Individual

Doula

801 Barret Ave Ste 301

Louisville, KY

1932526654

Lab One Of Ohio Inc

Organization

Clinical Medical Laboratory

98 Post Office Drive

Clay City, KY

1023457884

Lab One Of Ohio Inc

Organization

Clinical Medical Laboratory

2161 Lexington Rd

Suite 5

Richmond, KY

1841795689

MD Max Andrew Triantafillou

Individual

Internal Medicine Physician

900 S Limestone Ctw 304

Lexington, KY

1861078685

Lake Cumberland Regional Hospital Llc

Organization

Internal Medicine Physician

110 Hardin Ln Ste 9

Somerset, KY

1447330451

Lake Cumberland Regional Hospital, Llc

Organization

Internal Medicine Physician

350 Hospital Way

Suite 100

Somerset, KY

1093092744

Lake Cumberland Regional Hospital Llc

Organization

Family Nurse Practitioner

353 Bogle St

Suite A

Somerset, KY

1023155462

Lake Cumberland Regional Hospital Llc

Organization

Rural Health Clinic/Center

305 Langdon St

Somerset, KY

1306561766

Sierra Rader

Individual

Occupational Therapist

116 Meridian Way Ste 8

Richmond, KY

1194440552

APRN Chelsey Sievert

Individual

Nurse Practitioner

122 Langley Dr

Nicholasville, KY

1598480949

APRN Mary Mitchell

Individual

Emergency Registered Nurse

1850 Bluegrass Ave

Louisville, KY

1740927599

Goben Family Care Llc

Organization

Family Nurse Practitioner

7139 State Route 56 E

Sebree, KY

1912352030

M.D. Michael Crum

Individual

Emergency Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

1760914139

Sarah L Young

Individual

Clinical Social Worker

601 Lincoln Park Rd

Springfield, KY

1154589968

D.O. William B Webb

Individual

Emergency Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

1194204156

PA-C Brittney R. Judhan

Individual

Physician Assistant

911 Bypass Rd Bldg A

Pikeville, KY

1952385882

MD Brett E Jarrell

Individual

Emergency Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

1730622317

APRN Danny Brent Newsome

Individual

Family Nurse Practitioner

911 Bypass Rd Bldg A

Pikeville, KY

1093744807

DO John M Fleming

Individual

Family Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

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