LEXINGTON DIABETIC CENTER PSC (NPI# 1053583658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053583658 |
| Entity Type | Organization |
| Organization Name | LEXINGTON DIABETIC CENTER PSC |
| Practice Address |
1401 Harrodsburg Rd B280 Lexington KY 40504-3751 |
| Practice Telephone | 8599778855 |
| Practice Fax Number | 8599778856 |
| Mailing Telephone | 8599778855 |
| Mailing Fax Number | 8599778856 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |
| Authorized Official Name | MICHAEL C ALLEN (CEO) |
| Authorized Official Telephone | 8599778855 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 31364 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LDC DMERC REGION B | 5214980001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427279389 | Lexington Diabetic Center Psc | Point of Service | 103 Diagnostic Dr, Suite B, Frankfort, KY 40601-6524 | 2007-05-01 |
| 1356499602 | Lexington Diabetic Center Psc | Nurse Practitioner | 3292 Eagle View Ln, Suite 210, Lexington, KY 40509-2173 | 2007-01-05 |
| Street Address |
1401 HARRODSBURG RD B280 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-3751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021803 | Patrick K Leung | Psychiatry & Neurology | 1401 Harrodsburg Rd, Ste C225, Lexington, KY 40504-3751 | 2005-05-24 |
| 1174050801 | Jessica N Carty | Nurse Practitioner | 1401 Harrodsburg Rd, C335, Lexington, KY 40504-3751 | 2017-05-12 |
| 1861943029 | Amy Claunch | Nurse Practitioner | 1401 Harrodsburg Rd, C335, Lexington, KY 40504-3751 | 2016-10-21 |
| 1942657598 | Healthpoint Family Care, Inc. | Clinic/Center | 1401 Harrodsburg Rd, Suite 5-a, Lexington, KY 40504-3751 | 2016-05-24 |
| 1114386737 | Jenna Auxier | Counselor | 1401 Harrodsburg Rd, Lexington, KY 40504-3751 | 2016-02-11 |
| 1699147785 | Saint Joseph Health System Inc. | General Acute Care Hospital | 1401 Harrodsburg Rd, Suite A-480, Lexington, KY 40504-3751 | 2015-10-28 |
| 1255703336 | Angela S Shepherd | Physician Assistant | 1401 Harrodsburg Rd, Suite C-100, Lexington, KY 40504-3751 | 2015-10-28 |
| 1831572569 | Bryan Richard Tompkins | Physician Assistant | 1401 Harrodsburg Rd, Suite A-540, Lexington, KY 40504-3751 | 2015-06-30 |
| 1275925547 | Adam J Wilson | Nurse Practitioner | 1401 Harrodsburg Rd, A300, Lexington, KY 40504-3751 | 2015-02-24 |
| 1225427388 | Russell P Crawford | Nurse Practitioner | 1401 Harrodsburg Rd, Suite A-300, Lexington, KY 40504-3751 | 2015-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646633 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1030 Monarch St Ste P1, Lexington, KY 40513-1843 | 2020-07-10 |
| 1902425655 | Mercy LLC | Durable Medical Equipment & Medical Supplies | 501 Darby Creek Rd Ste 5, Lexington, KY 40509-1605 | 2020-04-13 |
| 1780215202 | Hbg Solutions LLC | Durable Medical Equipment & Medical Supplies | 415 Chinoe Rd, Lexington, KY 40502-2351 | 2020-02-03 |
| 1619532264 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 500 S Upper St, Lexington, KY 40508-2920 | 2019-05-08 |
| 1205313517 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5441 Platt Springs Rd, Lexington, SC 29073-9260 | 2018-07-20 |
| 1184110231 | Interventional Pain & Spine Specialists, LLC | Durable Medical Equipment & Medical Supplies | 2700 Old Rosebud Rd Ste 350, Lexington, KY 40509-8630 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1477055499 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 393 Waller Ave Ste 5, Lexington, KY 40504-2914 | 2018-03-06 |
| 1013421486 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 881 Nandino Blvd Ste 7, Lexington, KY 40511-1238 | 2017-11-21 |
| 1376054213 | Anesthesia Services Associates, Pllc | Durable Medical Equipment & Medical Supplies | 3650 Boston Rd Ste 110, Lexington, KY 40514-1564 | 2017-10-18 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.