MARSHALL LIFESTYLE MEDICINE, PSC (NPI# 1306240049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306240049 |
| Entity Type | Organization |
| Organization Name | MARSHALL LIFESTYLE MEDICINE, PSC |
| Practice Address |
2251 War Admiral Way Suite 125 Lexington KY 40509-2546 |
| Mailing Address |
2105 Wicksbury Pl Lexington KY 40515-1168 |
| Practice Telephone | 8596084841 |
| Mailing Telephone | 8596084841 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |
| Authorized Official Name | MICHAEL KITCHEN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8596084841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
2251 WAR ADMIRAL WAY SUITE 125 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063434538 | John Mullins | General Practice | 2251 War Admiral Way, Suite 125, Lexington, KY 40509 | 2006-07-24 |
| 1033200829 | Tammy Hang Nguyendon | Internal Medicine | 2251 War Admiral Way, Lexington, KY 40509-2546 | 2006-09-27 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649775586 | Landmark Medical of Kentucky, Psc | General Practice | 113 Glenn Pl Unit 100, Lexington, KY 40505-3518 | 2018-03-23 |
| 1962816991 | Brittney Dudley | General Practice | 800 Rose Street C 246, Lexington, KY 40536-0001 | 2014-06-18 |
| 1902223431 | William Bennett | General Practice | 319 Saxony Ct, Lexington, SC 29072-7957 | 2014-03-21 |
| 1245583236 | Lynnell Dupont | General Practice | 690 Mason Headley Rd Apt 210, Lexington, KY 40504-2337 | 2012-10-16 |
| 1437401957 | Mh Health Care Services, PC | General Practice | 740 W New Circle Rd, C/o Lexmark Health Center, Lexington, KY 40511-1806 | 2012-10-08 |
| 1548558489 | Dora Edith Hahn | General Practice | 1 Windy Ridge Ln, Lexington, SC 29073-8964 | 2011-07-13 |
| 1073703336 | Jerry Roger Hersey | General Practice | 2517 Bridle Ct, Lexington, KY 40504-1619 | 2007-08-01 |
| 1619195195 | Michael Shawn Houston | General Practice | Hwy 39, Lexington, OK 73051 | 2007-04-23 |
| 1629132345 | Avtar Robert Moore | General Practice | 9 N Randolph St, Lexington, VA 24450-2507 | 2006-12-20 |
| 1063434538 | John Mullins | General Practice | 2251 War Admiral Way, Suite 125, Lexington, KY 40509 | 2006-07-24 |
| 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.