SUSAN E. LIDDLE (NPI# 1386660140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386660140 |
| Entity Type | Individual |
| Full Name | SUSAN E. LIDDLE |
| Credential | M.D. |
| Practice Address |
1221 S Broadway Lexington KY 40504 |
| Mailing Address |
1221 S Broadway Lexington KY 40504-2701 |
| Practice Telephone | 8592584673 |
| Practice Fax Number | 8592586539 |
| Mailing Telephone | 8592586520 |
| Mailing Fax Number | 8592586539 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
26691 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64266919 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1401 Harrodsburg Rd, Suite A-120, Lexington, KY 405043751 | 8592586520 | 8592586539 |
| Street Address |
1221 S BROADWAY |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060779 | Nancy L. Burandt | Anesthesiology | 1221 S Broadway, Lexington, KY 40504-2701 | 2005-06-01 |
| 1578197901 | Ashlee N Swinford | Nurse Anesthetist, Certified Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2020-02-25 |
| 1104459569 | Sarah M Justice | Nurse Anesthetist, Certified Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2020-02-13 |
| 1447803754 | New Lexington Clinic, Psc | Dietitian, Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2019-07-17 |
| 1346724473 | New Lexington Clinic Psc | Internal Medicine | 1221 S Broadway, Lexington, KY 40504-2701 | 2018-09-25 |
| 1790290831 | Ashley B Arrington | Nurse Anesthetist, Certified Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2017-12-12 |
| 1306365762 | Kelsey Alexandra Woods | Nurse Practitioner | 1221 S Broadway, Lexington, KY 40504-2701 | 2017-09-16 |
| 1013466523 | Lauren Dice Smith | Nurse Practitioner | 1221 S Broadway, Lexington, KY 40504 | 2016-09-26 |
| 1073061768 | Krista Johnson | Nurse Practitioner | 1221 S Broadway, Lexington, KY 40504-2701 | 2016-09-12 |
| 1770945560 | Bethany Borders | Dietitian, Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184018285 | James Mobley | Internal Medicine | 800 Rose St Ste Cc-402, Lexington, KY 40536-0293 | 2015-03-26 |
| 1770837270 | Chaitanya Iragavarapu | Internal Medicine | Uk Hematology/ Bmt Clinic, 800 Rose St Roach Cancer Ctr 1st Fl, Lexington, KY 40536-0293 | 2012-11-05 |
| 1427316900 | Ryan Woods | Internal Medicine | University of Kentucky Gme, 800 Rose St. Room Hq-101, Lexington, KY 40536-0293 | 2012-05-02 |
| 1154434645 | John L. Villano | Internal Medicine | Uk Medical Oncology, 800 Rose Street, Cc401 Roach Building, Lexington, KY 40536-0093 | 2006-08-17 |
| 1356311435 | Eugene Paschold | Internal Medicine | 1370 Piedmont Dr, Suite 202, Lexington, NC 27295-2052 | 2006-01-23 |
| 1639179484 | John J Gohmann | Internal Medicine | 1720 Nicholasville Rd, Suite 701, Lexington, KY 40503-1404 | 2005-07-22 |
| 1184622250 | Lowell Brian Anthony | Internal Medicine | Markey Cancer Ctr, 800 Rose Street, Whitney Hedrickson Bldg, Lexington, KY 40536-0001 | 2005-07-12 |
| 1679009575 | Garima Gupta | Internal Medicine | 800 Rose St Ste Cc-402, Lexington, KY 40536-2725 | 2017-05-11 |
| 1912350042 | Snigdha Nutalapati | Internal Medicine | University of Kentucky 800 Rose Street, Lexington, KY 40536-1458 | 2016-07-13 |
| 1447614110 | Brenen Swofford | Internal Medicine | 800 Rose St Ste Cc-402, Lexington, KY 40536-7001 | 2016-04-08 |
| 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.