DR. MORIA NICHOLS BUSH


Address: 230 Fountain Ct, Suite 260, Lexington, KY 40509-1895
Phone: 8592640660

DR. MORIA NICHOLS BUSH (NPI# 1548235492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548235492
Entity Type Individual
Full Name DR. MORIA NICHOLS BUSH
Credential MD
Practice Address 230 Fountain Ct
Suite 260
Lexington
KY 40509-1895
Practice Telephone 8592640660
Practice Fax Number 8592640662
Mailing Telephone 8592640660
Mailing Fax Number 8592640662
Enumeration Date 2006-02-22
Last Update Date 2008-05-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 30550 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY ANTHEM 000000392673 01
KY 65944761 05
KY 64305501 05

Office Location

Street Address 230 FOUNTAIN CT
SUITE 260
City LEXINGTON
State KY
Zip Code 40509-1895

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275963225 Michelle Mayfield Physical Therapist 230 Fountain Ct, Suite 325, Lexington, KY 40509-1895 2013-11-12
1518391994 Ronald Lasley Physical Therapist 230 Fountain Ct, Suite 325, Lexington, KY 40509-1895 2013-08-21
1972875672 Allergy Solutions of Kentucky, LLC Clinical Medical Laboratory 230 Fountain Ct, Suite 230, Lexington, KY 40509-1895 2012-01-27
1649598962 Ortho Kentucky Pllc Durable Medical Equipment & Medical Supplies 230 Fountain Ct, Suite 180, Lexington, KY 40509-1895 2010-05-11
1962735621 Ortho Kentucky Pllc Orthopaedic Surgery 230 Fountain Ct, Ste 180, Lexington, KY 40509-1895 2009-09-14
1063650547 Baptist Health Medical Group, Inc. Physical Medicine & Rehabilitation 230 Fountain Ct, Suite 325, Lexington, KY 40509-1895 2009-01-22
1467571331 Robert D Woods II, Md Otolaryngology 230 Fountain Ct, Suite 120, Lexington, KY 40509-1896 2007-03-29
1194863696 Phillip Kevin Surrett Physical Therapy Assistant 230 Fountain Ct, Suite 325, Lexington, KY 40509-1895 2007-02-05
1942370770 Kentucky Sleep Center, LLC Clinic/Center 230 Fountain Ct, Suite 140, Lexington, KY 40509-1888 2006-11-09
1871675991 Ortho Kentucky Dba Kentucky Bone & Joint Surgeons Orthopaedic Surgery 230 Fountain Ct, Suite 180, Lexington, KY 40509-1895 2006-10-19
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396268223 Prasanna Kumar Gangishetti Pediatrics 800 Rose St Rm No Mn-118, Lexington, KY 40536 2017-07-23
1154855054 John Michael Jansen Pediatrics 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 2017-04-18
1407218589 Caitlyn Anglin Pediatrics University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 2016-03-28
1497117667 Frances Michelle Curran Pediatrics 800 Rose St Rm Mn-118, Lexington, KY 40536-0298 2016-03-25
1073995908 John Stone Pediatrics Pediatric Residency Program Uk 800 Rose St, Mn472, Lexington, KY 40536-0293 2015-06-27
1346621042 Nina Azer Salfity Pediatrics 800 Rose St Rm Mn-472, Lexington, KY 40536-0293 2015-06-18
1417334103 William Douglas Hacker Pediatrics 4856 Pleasant Grove Road, Lexington, KY 40515 2015-05-01
1235525957 Carl Wayne Dowden Pediatrics 740 S Limestone Ste J201, Lexington, KY 40536-7001 2015-04-09
1861808271 Rucha Shukla Pediatrics 138 Leader Ave Rm 9a, Lexington, KY 40508 2014-07-07
1184030983 Anna Caitlynn Iddings Pediatrics 800 Rose Street Mn118, Lexington, KY 40536-0001 2014-07-01
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Competitor

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City LEXINGTON
Zip Code 40509

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Dataset Information

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.

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