LEXINGTON PODIATRY PSC (NPI# 1033358726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033358726 |
| Entity Type | Organization |
| Organization Name | LEXINGTON PODIATRY PSC |
| Other Organization Name | LEXINGTON PODIATRY |
| Practice Address |
2700 Old Rosebud Rd Suite 110 Lexington KY 40509 |
| Mailing Address |
2700 Old Rosebud Rd Suite 110 Lexington KY 40509-8623 |
| Practice Telephone | 8592641141 |
| Practice Fax Number | 8592641963 |
| Mailing Telephone | 8592641141 |
| Mailing Fax Number | 8592641963 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | MRS. NICOLE G. FREELS (OWNER) |
| Authorized Official Telephone | 8592641141 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363L00000X | Nurse Practitioner | KY | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100146070 | 05 | |
| KY | 7100438400 | 05 | |
| KY | 7100108720 | 05 |
| Other Name | Type Code |
|---|---|
| Lexington Podiatry | Doing Business As Name - Organization |
| Street Address |
2700 OLD ROSEBUD RD SUITE 110 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811046857 | Jenny Miller | Dentist | 2700 Old Rosebud Rd, 160, Lexington, KY 40509-8559 | 2007-01-09 |
| 1679941165 | Katherine Kubarek | Nurse Practitioner | 2700 Old Rosebud Rd, 110, Lexington, KY 40509-8623 | 2015-09-14 |
| 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.