NEW LEXINGTON CLINIC, PSC (NPI# 1821283011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821283011 |
| Entity Type | Organization |
| Organization Name | NEW LEXINGTON CLINIC, PSC |
| Other Organization Name | PODIATRIC-FOOT AND ANKLE SPECIALISTS OF LEXINGTON CLINIC |
| Practice Address |
120 N Eagle Creek Dr Suite 440 Lexington KY 40509-1827 |
| Mailing Address |
Po Box 11790 Lexington KY 40578-1790 |
| Practice Telephone | 8592585900 |
| Practice Fax Number | 8592585905 |
| Mailing Telephone | 8592586000 |
| Mailing Fax Number | 8592586123 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2008-08-14 |
| Authorized Official Name | RANDALL LEMAY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8592584101 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW LEXINGTON CLINIC, PSC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 80900285 | 05 | |
| KY | MEDICARE GROUP NUMBER | 0169 | 01 |
| Other Name | Type Code |
|---|---|
| Podiatric-Foot and Ankle Specialists of Lexington Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861687048 | New Lexington Clinic, Psc | Eyewear Supplier (Equipment, not the service) | 1002 S Broadway St, Georgetown, KY 40324-1463 | 2007-09-11 |
| 1881789964 | New Lexington Clinic, Psc | Durable Medical Equipment & Medical Supplies | 1225 S Broadway, Suite 100, Lexington, KY 40504-2701 | 2006-10-04 |
| 1447803754 | New Lexington Clinic, Psc | Dietitian, Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2019-07-17 |
| 1578025029 | New Lexington Clinic, Psc | Occupational Therapist | 700 Bob O Link Dr, Lexington, KY 40504-3756 | 2019-04-03 |
| 1669715058 | New Lexington Clinic, Psc | Audiologist | 1720 Nicholasville Rd, Suite 500, Lexington, KY 40503-1487 | 2013-04-03 |
| 1568771814 | New Lexington Clinic, Psc | Pathology | 1221 S Broadway, Lexington, KY 40504-2701 | 2010-10-05 |
| 1407089329 | New Lexington Clinic, Psc | Clinic/Center | 1221 S Broadway, Lexington, KY 40504-2701 | 2009-08-26 |
| 1497910731 | New Lexington Clinic, Psc | Nurse Practitioner | 1221 S Broadway, Lexington, KY 40504-2701 | 2008-07-25 |
| 1306001649 | New Lexington Clinic, Psc | Physician Assistant | 1221 S Broadway, Lexington, KY 40504-2701 | 2008-07-25 |
| 1912097700 | New Lexington Clinic, Psc | Clinic/Center | 1225 S Broadway, Suite 200, Lexington, KY 40504-2701 | 2006-10-13 |
| Street Address |
120 N EAGLE CREEK DR SUITE 440 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881919 | Ricky D. Isernhagen | Ophthalmology | 120 N Eagle Creek Dr, Ste 500, Lexington, KY 40509-1827 | 2005-06-15 |
| 1992336036 | Lindsey Tong | Social Worker | 120 N Eagle Creek Dr, Lexington, KY 40509-1827 | 2020-01-28 |
| 1144710419 | Kaci M Wathen | Audiologist | 120 N Eagle Creek Dr, Lexington, KY 40509-1827 | 2018-05-13 |
| 1023427507 | Palak B Wall Md Pllc | Ophthalmology | 120 N Eagle Creek Dr, Lexington, KY 40509-1827 | 2014-08-08 |
| 1821424722 | Jessica M Bezner | Optometrist | 120 N Eagle Creek Dr, Ste 431, Lexington, KY 40509-1827 | 2013-09-24 |
| 1518222959 | Agata M Toborek | Pediatrics | 120 N Eagle Creek Dr, Ste 250, Lexington, KY 40509-1827 | 2012-07-11 |
| 1760747141 | Cgg Internal Medicine | Clinic/Center | 120 N Eagle Creek Dr, Suite321, Lexington, KY 40509-1827 | 2012-07-11 |
| 1023316890 | Lisa K Caldwell | Nurse Practitioner | 120 N Eagle Creek Dr, Ste 101, Lexington, KY 40509-1827 | 2011-03-03 |
| 1992008353 | Megan L Settles | Physician Assistant | 120 N Eagle Creek Dr, Suite 360, Lexington, KY 40509-1827 | 2010-12-07 |
| 1336469444 | Blake Isernhagen | Ophthalmology | 120 N Eagle Creek Dr, Ste 500, Lexington, KY 40509 | 2010-06-11 |
| Find all providers in the same location | ||||
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124213202 | Brian J Zinsmeister | Podiatrist | 76 Bedford St Ste 31, Lexington, MA 02420-4641 | 2007-09-11 |
| 1467655696 | Nicole G Freels | Podiatrist | 2700 Old Rosebud Rd Ste 110, Lexington, KY 40509-8624 | 2007-06-06 |
| 1760505598 | Joseph Bendict Carabbio Sr. | Podiatrist | 40 Fairbanks Rd, Lexington, MA 02421-7729 | 2007-04-08 |
| 1538299698 | Michael Justin Morrill | Podiatrist | 2692 Richmond Road, Suite 100, Lexington, KY 40509 | 2007-03-07 |
| 1710063169 | James Bradford Braudis | Podiatrist | 1236 Gainesway Dr, Lexington, KY 40517-2813 | 2006-10-28 |
| 1750313748 | Chris N Bryant | Podiatrist | 2130 Nicholasville Rd, Suite 1, Lexington, KY 40503-2520 | 2006-07-07 |
| 1912954587 | Joseph Gifford Weaver IIi | Podiatrist | 208 W Center St, Suite D, Lexington, NC 27292-3045 | 2006-05-28 |
| 1952363764 | Donald L. Ambroziak | Podiatrist | 141 Prosperous Pl, Suite 22a, Lexington, KY 40509-1854 | 2006-04-05 |
| 1265404107 | Susan Donna Wexler | Podiatrist | 58 Buckman Dr, Lexington, MA 02421-6040 | 2006-02-04 |
| 1063492429 | Heather L. Whitesel | Podiatrist | 740 S. Limestone K-454, Lexington, KY 40536-0284 | 2006-01-20 |
| 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.