SUSAN K. SVETICH (NPI# 1134224355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134224355 |
| Entity Type | Individual |
| Full Name | SUSAN K. SVETICH |
| Credential | P.A.-C. |
| Practice Address |
1055 Dove Run Rd Lexington KY 40502-3536 |
| Practice Telephone | 8592680061 |
| Practice Fax Number | 8592661152 |
| Mailing Telephone | 8592680061 |
| Mailing Fax Number | 8592661152 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2009-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA119 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA119 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE LAB GROUP | 4000501 | 01 |
| KY | RR MEDICARE PIN | P00036568 | 01 |
| KY | RR MEDICARE GROUP | CB5773 | 01 |
| KY | MEDICAID LAB GROUP | 37903705 | 01 |
| KY | 95001194 | 05 |
| Street Address |
1055 DOVE RUN RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40502-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690317 | Jana Sue Cuddy | Physician Assistant | 1055 Dove Run Rd, Lexington, KY 40502 | 2005-12-19 |
| 1902241458 | Lexlo, LLC | Family Medicine | 1055 Dove Run Rd, Suite 210, Lexington, KY 40502-3536 | 2013-05-09 |
| 1164778163 | American Current Care Pa | Clinic/Center | 1055 Dove Run Rd, N/a, Lexington, KY 40502-3536 | 2012-07-27 |
| 1871849885 | Occupational Health Centers of The Southwest, P.a., P.s.c. | Clinic/Center | 1055 Dove Run Rd, N/a, Lexington, KY 40502-3536 | 2012-07-27 |
| 1447468459 | Amy Jennifer Green | Family Medicine | 1055 Dove Run Rd, Suite 200, Lexington, KY 40502-3536 | 2007-05-21 |
| 1083777957 | Lexington Vein & Aesthetic Center, Pllc | Surgery | 1055 Dove Run Rd, Lexington, KY 40502-3536 | 2006-12-19 |
| 1497842009 | Quentin Moore | Registered Nurse | 1055 Dove Run Rd, Lexington, KY 40502-3536 | 2006-10-06 |
| 1457463911 | Kirsten K Bradford Sharp | Physician Assistant | 1055 Dove Run Rd, Lexington, KY 40502-3536 | 2006-08-31 |
| 1417982299 | Donna Yancey Farmer | Internal Medicine | 1055 Dove Run Rd, Lexington, KY 40502-3536 | 2006-07-11 |
| 1861429722 | Johnny R Langefeld | Family Medicine | 1055 Dove Run Rd, Lexington, KY 40502 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213761 | Justin Waldo | Social Worker | Lexington Va Medical Center, 1101 Veteran's Drive, Lexington, KY 40502 | 2020-01-06 |
| 1275187569 | Lorraine Wiley | Specialist/Technologist | 712 Sports Center Dr, Lexington, KY 40502 | 2019-07-25 |
| 1013560952 | Erica Keller Musgrave | Speech-Language Pathologist | 882 Mcmeekin Pl, Lexington, KY 40502 | 2019-07-19 |
| 1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
| 1346740644 | Susan R Castle | Physical Therapist | 710 East Main Street, Lexington, KY 40502 | 2018-02-14 |
| 1689187684 | Lynn Kathryn Marsh Bryant | Speech-Language Pathologist | 120 Kentucky Avenue, Suite 110 Lexington, Lexington, KY 40502 | 2017-11-13 |
| 1215440888 | Ryan Mcnamara | Specialist/Technologist | 277 Sports Center Drive, Lexington, KY 40502 | 2017-11-06 |
| 1336667690 | Anthony Shawn Prater | Physical Therapist | 710 E. Main St., Lexington, KY 40502 | 2017-09-06 |
| 1568989002 | Lucie Thurman | Counselor | 1109 Richmond Rd., Lexington, KY 40502 | 2017-08-25 |
| 1548700867 | Ann Elizabeth Boone | Massage Therapist | 2121 Richmond Road, Suite 228, Lexington, KY 40502 | 2017-03-06 |
| Find all providers in zip 40502 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306118617 | Lb Health Psc | Physician Assistant | 1904 Nicholasville Rd, Lexington, KY 40503-2025 | 2012-02-01 |
| 1174890172 | Clayton Phillip Gatterdam Iv | Physician Assistant | 3205 Summit Square Suite 100, Lexington, KY 40509 | 2011-11-19 |
| 1134237340 | Rebecca Ward Hogsten | Physician Assistant | 4071 Tates Creek Centre Dr Ste 100, Lexington, KY 40517-3062 | 2006-08-28 |
| 1427003524 | David Wendell Moore | Physician Assistant | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2006-05-24 |
| 1376514760 | Kerri F Stillwell | Physician Assistant | 110 Houston Street, Lexington, VA 24450-0912 | 2006-02-01 |
| 1215914684 | Philip Harold Lafleur | Physician Assistant | 1055 Dove Run Road, Lexington, KY 40502 | 2005-12-28 |
| 1083690317 | Jana Sue Cuddy | Physician Assistant | 1055 Dove Run Rd, Lexington, KY 40502 | 2005-12-19 |
| 1942852157 | Anna Gayle Scott | Physician Assistant | 989 Governors Ln Ste 220, Lexington, KY 40513-1175 | 2019-07-09 |
| 1609333582 | Hannah Leigh Burford | Physician Assistant | 1401 Harrodsburg Rd Ste C305, Lexington, KY 40504-3771 | 2019-02-27 |
| 1881177186 | Sarah Kruyer | Physician Assistant | 250 Hospital Dr, Lexington, NC 27292-6792 | 2018-09-12 |
| 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.