LEXINGTON FOOT & ANKLE CENTER PSC (NPI# 1619017878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619017878 |
| Entity Type | Organization |
| Organization Name | LEXINGTON FOOT & ANKLE CENTER PSC |
| Practice Address |
202 Kidd Dr Suite 1 Berea KY 40403-9593 |
| Practice Telephone | 8592788855 |
| Practice Fax Number | 8592788856 |
| Mailing Telephone | 8592788855 |
| Mailing Fax Number | 8592788856 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL C ALLEN (CEO) |
| Authorized Official Telephone | 8592788855 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00236 | KY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 80900061 | 05 | |
| KY | STONER NPI | 1285781682 | 01 |
| KY | HARROD NPI | 1245256270 | 01 |
| KY | OUTSA NPI | 1821023250 | 01 |
| KY | ALLEN NPI | 1487681565 | 01 |
| KY | FINE NPI | 1659319721 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336291624 | Lexington Foot & Ankle Center Psc | Podiatrist | 805 Alexa Dr, Suite C, Mt Sterling, KY 40353-1000 | 2007-01-17 |
| 1033261607 | Lexington Foot & Ankle Center Psc | Podiatrist | 103 Diagnostic Dr, Suite B, Frankfort, KY 40601-6524 | 2007-01-17 |
| 1144360389 | Lexington Foot & Ankle Center Psc | Podiatrist | 1138 Lexington Rd, Suite 210, Georgetown, KY 40324-9672 | 2007-02-07 |
| Street Address |
202 KIDD DR SUITE 1 |
| City | BEREA |
| State | KY |
| Zip Code | 40403-9593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346324845 | Central Kentucky Surgery, Psc | Specialist | 202 Kidd Dr, Suite 1, Berea, KY 40403-9593 | 2006-10-24 |
| 1275806820 | Matthew Alan Smith | Physical Therapist | 202 Kidd Dr, Suite 3, Berea, KY 40403-7000 | 2012-02-13 |
| 1295042703 | Charles R Hazle Jr. | Physical Therapist | 202 Kidd Dr, Suite 3, Berea, KY 40403-7000 | 2010-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245763135 | Eric Michael Mccallister | Podiatrist | 429 Front St, Berea, OH 44017-1716 | 2017-04-06 |
| 1700268406 | Nathaniel Hamm Dpm, LLC | Podiatrist | 429 Front St, Berea, OH 44017-1716 | 2015-06-18 |
| 1134477342 | Nathaniel A Hamm | Podiatrist | 429 Front St, Berea, OH 44017-1716 | 2012-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821651852 | Sports Medicine Surgical Specialists Pllc | Podiatrist | 309 Guthrie St, Louisville, KY 40202-1813 | 2019-04-16 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1811423460 | Jillian Allison Teslow Rickertsen | Podiatrist | 734 W Main St Ste 100, Louisville, KY 40202-3687 | 2017-05-02 |
| 1992239214 | Nathaniel Winters | Podiatrist | 6801 Dixie Hwy Ste 134, Louisville, KY 40258-3952 | 2017-04-13 |
| 1992188437 | Brett P Vessell | Podiatrist | 4119 Browns Ln Ste 2, Louisville, KY 40220-1500 | 2015-07-01 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1093085367 | Ann Wolford | Podiatrist | 1850 Westen St, Bowling Green, KY 42104 | 2012-01-04 |
| 1740575653 | Harpreet S Minhas | Podiatrist | 420 Hopkinsville St, Greenville, KY 42345-1102 | 2011-06-20 |
| 1528375821 | Cumberland Foot and Ankle Center | Podiatrist | 49 Medical Loop, Whitley City, KY 42653-0000 | 2010-09-08 |
| 1760798045 | Cumberland Foot and Ankle Center | Podiatrist | 49 Gregory St, Monticello, KY 42633-2407 | 2010-08-25 |
| Find all providers with the same taxonomy | ||||
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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.