KENTUCKY DERMATOLOGY OBS LEXINGTON (NPI# 1255463063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255463063 |
| Entity Type | Organization |
| Organization Name | KENTUCKY DERMATOLOGY OBS LEXINGTON |
| Practice Address |
177 Burt Rd Lexington KY 40503-2410 |
| Practice Telephone | 8592761511 |
| Practice Fax Number | 8592763373 |
| Mailing Telephone | 8592761511 |
| Mailing Fax Number | 8592763373 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-03-13 |
| Authorized Official Name | DR. CLIFTON SMITH (OWNER) |
| Authorized Official Telephone | 8592761511 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
177 BURT RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114991296 | Clifton Smith | Dermatology | 177 Burt Rd, Lexington, KY 40503-2410 | 2006-02-15 |
| 1699382507 | Modern Dermatology of Kentucky LLC | Dermatology | 177 Burt Rd, Lexington, KY 40503-2457 | 2020-09-24 |
| 1154960714 | Kimberly Jo Himes | Peer Specialist | 177 Burt Rd, Lexington, KY 40503-2457 | 2019-12-31 |
| 1871145003 | Christopher James Sbert | Counselor | 177 Burt Rd, Lexington, KY 40503-2457 | 2019-07-09 |
| 1013470376 | Emily Anne Edmiston | Case Manager/Care Coordinator | 177 Burt Rd, Lexington, KY 40503-2457 | 2019-04-12 |
| 1831661990 | Whitney Roe Mcalpin | Case Manager/Care Coordinator | 177 Burt Rd, Lexington, KY 40503-2457 | 2018-12-28 |
| 1669950283 | Rebecca Merida | Case Manager/Care Coordinator | 177 Burt Rd, Lexington, KY 40503-2457 | 2018-08-06 |
| 1902337934 | Elizabeth Weaver | Case Manager/Care Coordinator | 177 Burt Rd, Lexington, KY 40503-2457 | 2017-03-22 |
| 1891236709 | Ashley Cobane Sutton | Physician Assistant | 177 Burt Rd, Lexington, KY 40503-2457 | 2017-03-10 |
| 1558736710 | Erika Zavala | Case Manager/Care Coordinator | 177 Burt Rd, Lexington, KY 40503 | 2015-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
| 1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| 1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
| 1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
| Find all providers in zip 40503 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796572 | Bluegrass Eye Surgery LLC | Clinic/Center | 715 Shaker Dr Ste 137, Lexington, KY 40504-3674 | 2020-10-06 |
| 1700993318 | University of Kentucky | Clinic/Center | One Plaza East, 101 Prosperous Pl, Suite 350, Lexington, KY 40509 | 2006-08-23 |
| 1750343083 | Lexington Surgery Center Ltd | Clinic/Center | 2115 Harrodsburg Rd, Lexington, KY 40504 | 2006-04-03 |
| 1639174634 | Pain Treatment Center Inc | Clinic/Center | 280 Pasadena Dr, Lexington, KY 40503-2925 | 2005-06-16 |
| 1497352934 | Lexington Health Inc | Clinic/Center | 811 W Main St, Lexington, SC 29072-2507 | 2020-10-07 |
| 1689216152 | Baptist Health Surgery Center LLC | Clinic/Center | 240 Fountain Ct, Lexington, KY 40509-1888 | 2019-10-16 |
| 1396260931 | Colorectal Surgical & Gastroenterology Associates Psc | Clinic/Center | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2017-08-04 |
| 1164811923 | Shriners Hospitals for Children | Clinic/Center | 110 Conn Ter, Lexington, KY 40508-3206 | 2015-01-16 |
| 1457551533 | Moore Orthopaedic Clinic Outpatient Surgery Center, LLC | Clinic/Center | 104 Saluda Pointe Dr, Suite 200, Lexington, SC 29072-7295 | 2007-07-18 |
| 1679792741 | Diagnostic Testing Facility, LLC | Clinic/Center | 160 N Eagle Creek Dr, Suite 202, Lexington, KY 40509-2121 | 2007-04-25 |
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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.