KENTUCKY FERTILITY AND ANDROLOGY, PLLC (NPI# 1497761894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497761894 |
Entity Type | Organization |
Organization Name | KENTUCKY FERTILITY AND ANDROLOGY, PLLC |
Practice Address |
141 N Eagle Creek Dr Suite 203 Lexington KY 40509-1832 |
Mailing Address |
Po Box 24787 Lexington KY 40524-4787 |
Practice Telephone | 8592775736 |
Practice Fax Number | 8592762236 |
Mailing Telephone | 8592775736 |
Mailing Fax Number | 8592762236 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2020-08-22 |
Authorized Official Name | GEORGE MICHAEL VELOUDIS JR. (MEMBER/PHYSICIAN) |
Authorized Official Telephone | 8592775736 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
02485 | KY | Allopathic & Osteopathic Physicians |
X | 363A00000X | Physician Assistant | PA779 | KY | Physician Assistants & Advanced Practice Nursing Providers |
X | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2995P | KY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
141 N EAGLE CREEK DR SUITE 203 |
City | LEXINGTON |
State | KY |
Zip Code | 40509-1832 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710539143 | Kevin Birdwhistell | Behavior Technician | 141 N Eagle Creek Dr, Lexington, KY 40509-1832 | 2019-07-16 |
1609336593 | Anneliese Apostolico | Behavior Technician | 141 N Eagle Creek Dr, Lexington, KY 40509-1832 | 2019-03-25 |
1902366289 | Karlee Mcmackin | Behavior Technician | 141 N Eagle Creek Dr, Lexington, KY 40509-1832 | 2019-03-22 |
1831613918 | Christine S Adams | Advanced Practice Midwife | 141 N Eagle Creek Dr, Lexington, KY 40509-1832 | 2017-07-31 |
1225585599 | Dolores Polito | Advanced Practice Midwife | 141 N Eagle Creek Dr, Suite 200, Lexington, KY 40509-1832 | 2016-09-05 |
1891167326 | Savannah Thompson | Counselor | 141 N Eagle Creek Dr, Lexington, KY 40509 | 2015-10-23 |
1164696852 | Amy Leigh Claxon | Physician Assistant | 141 N Eagle Creek Dr, Suite 203, Lexington, KY 40509-1832 | 2008-04-15 |
1336204676 | Mark A. Delomas, M.d., P.s.c. | Physician Assistant | 141 N Eagle Creek Dr, Suite 200, Lexington, KY 40509-1832 | 2006-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
Find all providers in zip 40509 |
Taxonomy Code | 207VE0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Reproductive Endocrinology |
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295918027 | Samuel Allen Pauli | Obstetrics & Gynecology | 450 Bedford St Ste 1000, Lexington, MA 02420-1520 | 2007-12-16 |
1346340676 | Walter Alfred Divers | Obstetrics & Gynecology | 4109 John Alden Ln, Lexington, KY 40504-2043 | 2006-09-25 |
1962459131 | Dan Tulchinsky | Obstetrics & Gynecology | 1 Forbes Rd., Reproductive Science Ctr., Lexington, MA 02421 | 2006-05-31 |
1255391256 | John H Derry | Obstetrics & Gynecology | One Forbes Road, Lexington, MA 02421 | 2006-03-24 |
1275780173 | Woman To Woman Healthcare, LLC. | Obstetrics & Gynecology | 1055 Wellington Way, Suite 125, Lexington, KY 40513-1259 | 2008-08-21 |
1992844179 | Mpd Medical Associates Ma PC | Obstetrics & Gynecology | One Forbes Road, Lexington, MA 02421-7305 | 2007-02-05 |
1730195512 | Kristen Page Wright | Obstetrics & Gynecology | 1 Forbes Rd, Lexington, MA 02421-7305 | 2006-07-31 |
1730123910 | Kenneth Muse Jr. | Obstetrics & Gynecology | 800 Rose Street, Lexington, KY 40536-0001 | 2006-06-16 |
1407891450 | Emery Wilson | Obstetrics & Gynecology | 800 Rose Street, Lexington, KY 40536-0001 | 2006-06-16 |
1508853581 | Samuel Chow-ern Pang | Obstetrics & Gynecology | 1 Forbes Rd, Lexington, MA 02421-7305 | 2005-10-04 |
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.