CONCENTRA PRIMARY CARE PA (NPI# 1457608515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457608515 |
| Entity Type | Organization |
| Organization Name | CONCENTRA PRIMARY CARE PA |
| Other Organization Name | CONCENTRA PRIMARY CARE |
| Practice Address |
3174 Custer Drive Suite 100 Lexington KY 40517-4000 |
| Mailing Address |
5080 Spectrum Drive Suite 1200 West Addison TX 75001-4648 |
| Practice Telephone | 8592733916 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2015-06-17 |
| Authorized Official Name | DR. ROBERT HASSETT (PRESIDENT) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Concentra Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174873905 | Concentra Primary Care Pa | Clinic/Center | 220 West Goodwin, Pleasanton, TX 78064-4115 | 2012-09-19 |
| 1265782098 | Concentra Primary Care Pa | Clinic/Center | 260 Us Hwy 181 N, Floresville, TX 78114-3136 | 2012-09-19 |
| 1164772992 | Concentra Primary Care Pa | Clinic/Center | 4360 Greco Drive, San Antonio, TX 78222-2725 | 2012-09-19 |
| 1336499177 | Concentra Primary Care Pa | Clinic/Center | 12413 Judson Road, Live Oak, TX 75233-3202 | 2012-09-19 |
| 1427308253 | Concentra Primary Care Pa | Clinic/Center | 1354 East Walnut St, Seguin, TX 78155-5126 | 2012-09-19 |
| 1457601288 | Concentra Primary Care Pa | Clinic/Center | 1860 South Seguin Avenue, New Braunfels, TX 78130-3914 | 2012-09-19 |
| 1548517600 | Concentra Primary Care Pa | Family Medicine | 1502 Oxford Drive, Georgetown, KY 40324-8094 | 2012-08-08 |
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1962783654 | Concentra Primary Care Pa | Clinic/Center | 1220 Caroline Street, Suite A230, Atlanta, GA 30307 | 2011-09-08 |
| 1417238106 | Concentra Primary Care Pa | Clinic/Center | 3330 Sugarloaf Parkway, Suite Ol1d, Lawrenceville, GA 30044 | 2011-09-08 |
| Street Address |
3174 CUSTER DRIVE SUITE 100 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40517-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1538638515 | Lionheart Trauma Support Services, LLC | Social Worker | 168 E Reynolds Rd., Suite 210, Lexington, KY 40517 | 2018-11-19 |
| 1467964486 | Leila M Goodpaster | Counselor | 3205 Elk Lake Ct., Lexington, KY 40517 | 2017-10-31 |
| 1588108609 | Body Structure Clinic | Dietitian, Registered | 2600 Gribbin Dr., Lexington, KY 40517 | 2016-12-08 |
| 1932538766 | Lydia Akin | Social Worker | 3150 Custer Dr., Suite 103, Lexington, KY 40517 | 2013-11-02 |
| 1083986335 | Family Counseling Service | Social Worker | 1393 Trent Blvd., Lexington, KY 40517 | 2012-02-02 |
| 1356624233 | Michael Glindmeyer | Physical Therapist | 2600 Gribbin Drive, Lexington, KY 40517 | 2011-09-27 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1982913745 | Cynae Rashel Carter | Social Worker | 343 Waller Avenue, Suite 201, Lexington, KY 40517 | 2010-09-28 |
| 1548401185 | Jason Eugene Thomas | Counselor | 1393 Trent Boulevard, Building 2, Suite 2101, Lexington, KY 40517 | 2009-03-11 |
| Find all providers in zip 40517 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809108 | Lexington Primary Care LLC | Clinic/Center | 777 Athens Rd, Lexington, GA 30648-1902 | 2020-10-20 |
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1265906192 | Core Chiropractic and Family Wellness Pllc | Clinic/Center | 524 E.second St, Lexington, KY 40508 | 2019-01-14 |
| 1467908095 | Careatc - Leggett & Platt - Lexington, Nc | Clinic/Center | 3040 Junior Order Home Road, Lexington, NC 27292 | 2016-09-01 |
| 1518217389 | Wade D Reynolds Do, LLC | Clinic/Center | 111 Ivy Park Ln, Suite C, Lexington, SC 29072-8289 | 2012-09-19 |
| 1023266509 | Family First Medical Clinic | Clinic/Center | 21 W Church St, Lexington, TN 38351-2009 | 2008-09-08 |
| 1013905710 | Transsouth Healthcare PC | Clinic/Center | 120 E Church St, Lexington, TN 38351-1821 | 2005-10-07 |
| 1104459502 | Chevy Chase Primary Care LLC | Clinic/Center | 330 Romany Rd, Lexington, KY 40502-2404 | 2020-02-14 |
| 1538527254 | Viphealth LLC | Clinic/Center | 117 Park Place Ct, Lexington, SC 29072-6690 | 2016-02-09 |
| 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.