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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100090760 | 05 | |
KY | RAILROAD MEDICARE | DN1298 | 01 |
KY | INDIVIDUAL NPI | 1033189295 | 01 |
Street Address |
1401 HARRODSBURG RD SUITE C415 |
City | LEXINGTON |
State | KY |
Zip Code | 40504-3751 |
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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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 |
Find all providers in zip 40504 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
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] |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205468147 | Mountain Health Care | Clinic/Center | 3056 Ky Route 321, Prestonsburg, KY 41653-9105 | 2020-02-09 |
1215276282 | Denali Iom | Clinic/Center | 1211 Griffith Ave, Owensboro, KY 42301-2816 | 2013-02-11 |
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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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.