HEALTHSOURCE OF SOUTHEAST LEXINGTON INC. (NPI# 1104081306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104081306 |
| Entity Type | Organization |
| Organization Name | HEALTHSOURCE OF SOUTHEAST LEXINGTON INC. |
| Practice Address |
4101 Tates Creek Centre Dr Suite 132 Lexington KY 40517-3066 |
| Practice Telephone | 8592725460 |
| Practice Fax Number | 8592725463 |
| Mailing Telephone | 8592725460 |
| Mailing Fax Number | 8592725463 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2009-11-18 |
| Authorized Official Name | DR. MICHAEL NEWELL PUGH (CHIROPRACTOR) |
| Authorized Official Telephone | 8592725460 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4578 | KY | Chiropractic Providers |
| Street Address |
4101 TATES CREEK CENTRE DR SUITE 132 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40517-3066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669406484 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 4101 Tates Creek Centre Dr, Lexington, KY 40517-3066 | 2006-07-10 |
| 1053922526 | Brooklyne Paige Chitwood | Pharmacist | 4101 Tates Creek Centre Dr, Lexington, KY 40517-3066 | 2020-08-10 |
| 1285251223 | Patricia Taluskie I | Pharmacist | 4101 Tates Creek Centre Dr, Lexington, KY 40517-3066 | 2020-06-25 |
| 1427682442 | Carrie Ward Hamilton | Pharmacist | 4101 Tates Creek Centre Dr, Lexington, KY 40517-3066 | 2020-02-28 |
| 1023579976 | Elizabeth Henry Magner | Pharmacist | 4101 Tates Creek Centre Dr, Lexington, KY 40517-3066 | 2019-03-25 |
| 1609361724 | Bluegrass Internal Medicine and Nephrology | Internal Medicine | 4101 Tates Creek Centre Dr, Lexington, KY 40517-3066 | 2018-06-30 |
| 1538565346 | Bryan James | Physical Therapist | 4101 Tates Creek Centre Dr, Lexington, KY 40517-3066 | 2014-11-06 |
| 1578976502 | William Hankinson | Pharmacist | 4101 Tates Creek Centre Dr, Ste 156, Lexington, KY 40517-3066 | 2014-06-06 |
| 1518380583 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 4101 Tates Creek Centre Dr, Lexington, KY 40517 | 2014-01-28 |
| 1265714364 | Whitney Brooke Deweese | Physical Therapist | 4101 Tates Creek Centre Dr, Ste 144, Lexington, KY 40517-3066 | 2011-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1538638515 | Lionheart Trauma Support Services, LLC | Social Worker | 168 E Reynolds Rd., Suite 210, Lexington, KY 40517 | 2018-11-19 |
| 1467964486 | Leila M Goodpaster | Counselor | 3205 Elk Lake Ct., Lexington, KY 40517 | 2017-10-31 |
| 1588108609 | Body Structure Clinic | Dietitian, Registered | 2600 Gribbin Dr., Lexington, KY 40517 | 2016-12-08 |
| 1932538766 | Lydia Akin | Social Worker | 3150 Custer Dr., Suite 103, Lexington, KY 40517 | 2013-11-02 |
| 1083986335 | Family Counseling Service | Social Worker | 1393 Trent Blvd., Lexington, KY 40517 | 2012-02-02 |
| 1356624233 | Michael Glindmeyer | Physical Therapist | 2600 Gribbin Drive, Lexington, KY 40517 | 2011-09-27 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1982913745 | Cynae Rashel Carter | Social Worker | 343 Waller Avenue, Suite 201, Lexington, KY 40517 | 2010-09-28 |
| 1548401185 | Jason Eugene Thomas | Counselor | 1393 Trent Boulevard, Building 2, Suite 2101, Lexington, KY 40517 | 2009-03-11 |
| Find all providers in zip 40517 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023271 | Elizabeth Roth | Chiropractor | 3650 Boston Rd Ste 188, Lexington, KY 40514-1502 | 2020-11-04 |
| 1225667652 | Regency Chiropractic | Chiropractor | 171 W Lowry Ln Ste 164, Lexington, KY 40503-3006 | 2020-04-07 |
| 1417585993 | Chiropractic and Primary Spine Care of Lexington | Chiropractor | 30 Crossing Ln Ste 207, Lexington, VA 24450-6354 | 2020-03-30 |
| 1467087866 | Jenna Mekensie Turner | Chiropractor | 448 Lewis Hargett Cir Ste 220, Lexington, KY 40503-3596 | 2020-03-05 |
| 1063057172 | Alycia Marsili | Chiropractor | 2800 Sand Ridge Bargerton Rd, Lexington, TN 38351-6320 | 2019-11-12 |
| 1164075180 | Max Family Chiropractic, Rebecca Pangemanan Dc LLC | Chiropractor | 395 Elaine Dr Ste 110, Lexington, KY 40504-2871 | 2019-07-18 |
| 1437702776 | Alexander E Dapkus | Chiropractor | 2459 Nicholasville Rd Ste 150, Lexington, KY 40503-3182 | 2019-07-16 |
| 1386102481 | Mateo Franco | Chiropractor | 1925 Justice Dr Ste 170, Lexington, KY 40509-2553 | 2019-03-07 |
| 1467923094 | Joseph Messina | Chiropractor | 5140 Sunset Blvd Ste A, Lexington, SC 29072-7333 | 2018-12-07 |
| 1750864195 | Core Health Centers of Hamburg LLC | Chiropractor | 2530 Sir Barton Way Ste# 125, Lexington, KY 40509-2275 | 2018-09-12 |
| 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.