ADVANCED CLINICAL DERMATOLOGY, PSC


Address: 1401 Harrodsburg Rd, Suite C415, Lexington, KY 40504-3751
Phone: 8592885004

ADVANCED CLINICAL DERMATOLOGY, PSC (NPI# 1558553560) 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) 1558553560
Entity Type Organization
Organization Name ADVANCED CLINICAL DERMATOLOGY, PSC
Practice Address 1401 Harrodsburg Rd
Suite C415
Lexington
KY 40504-3751
Practice Telephone 8592885004
Practice Fax Number 8592885007
Mailing Telephone 8592885004
Mailing Fax Number 8592885007
Enumeration Date 2007-08-14
Last Update Date 2017-02-20
Authorized Official Name DR. LEIGH ANN CARTER (PRESIDENT/DERMATOLOGIST)
Authorized Official Telephone 8592885004
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
PA602 KY Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 3688P KY Physician Assistants & Advanced Practice Nursing Providers
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
40054 KY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100090760 05
KY RAILROAD MEDICARE DN1298 01
KY INDIVIDUAL NPI 1033189295 01

Office Location

Street Address 1401 HARRODSBURG RD
SUITE C415
City LEXINGTON
State KY
Zip Code 40504-3751

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801249925 Shriners Hospitals for Children Clinic/Center 110 Conn Ter, Lexington, KY 40508-3206 2016-07-14
1790166577 Befree Now Centers Clinic/Center 2387 Professional Heights Dr, Suite 10, Lexington, KY 40503-3004 2015-06-17
1386934354 University of Kentucky Healthcare Clinic/Center 800 Rose St, Mn 150, Lexington, KY 40536-0298 2011-04-12
1215168117 Terrance G. Furlow, M.d. Pllc Clinic/Center 2101 Nicholasville Rd, Lexington, KY 40503-2518 2009-07-27
1376788133 A. Bastecki Chiropractic Ltd Clinic/Center 3101 Richmond Rd, Suite202, Lexington, KY 40509-1599 2008-12-09
1356504229 University of Kentucky Clinic/Center 800 Rose St, Department of Internal Medicine, Lexington, KY 40536-0001 2008-07-09
1790984128 James W. Akin, Md Psc Clinic/Center 1760 Nicholasville Rd, Suite 501, Lexington, KY 40503-1471 2007-07-16
1881765204 Kentucky Nephrology Research Trust, Inc. Clinic/Center 1101 Winchester Rd, Suite 200, Lexington, KY 40505-4028 2006-11-10

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1548551054 Ideal Image Clinic/Center 3604 Springhurst Blvd, Louisville, KY 40241-4142 2011-05-02
1609179589 Paul L Patterson II Od Psc Clinic/Center 295 Campbellsville Byp Ste 1, Campbellsville, KY 42718-7870 2010-12-14
1437482072 Ephraim Mcdowell Health Resource, Inc. Clinic/Center 216 West Walnut, Suite B, Danville, KY 40422-1824 2009-09-15
1285813469 Chiaki Gauntt Md Pllc Clinic/Center 1917 S Highway 53, La Grange, KY 40031-8574 2007-10-24
1477767549 Karen Eastridge LLC Clinic/Center 1553 Highway 44 E Ste 2, Shepherdsville, KY 40165-7183 2007-05-09
1760525067 Lagrange Wellness Chiropractoc Clinic/Center 2005 S Highway 53 Ste C, Lagrange, KY 40031-9109 2007-02-15
1316441975 Renew Recovery, LLC Clinic/Center 599 Freedom Park Dr, Crestview Hills, KY 41017 2018-03-20
1346625613 Mansfield Eye Clinic, Pllc Clinic/Center 5101 Hinkleville Rd, Ste 490, Paducah, KY 42001-9049 2015-07-28
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Competitor

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City LEXINGTON
Zip Code 40504

Improve Information

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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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