LANDMARK MEDICAL OF KENTUCKY, PSC (NPI# 1649775586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649775586 |
Entity Type | Organization |
Organization Name | LANDMARK MEDICAL OF KENTUCKY, PSC |
Practice Address |
113 Glenn Pl Unit 100 Lexington KY 40505-3518 |
Mailing Address |
7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 |
Practice Telephone | 6574005180 |
Mailing Telephone | 6574005180 |
Enumeration Date | 2018-03-23 |
Last Update Date | 2018-03-23 |
Authorized Official Name | MICHAEL HUY LE (CHIEF MEDICAL OFFICER) |
Authorized Official Telephone | 6574005180 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Street Address |
113 GLENN PL UNIT 100 |
City | LEXINGTON |
State | KY |
Zip Code | 40505-3518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629548219 | Leah Morgan Adekoya | Occupational Therapist | 1300 East New Circle Road Suite 150, Lexington, KY 40505 | 2018-11-27 |
1972029825 | Sarah Thompson | Community Health Worker | 2250 Thunderstick Drive, 1104, Lexington, KY 40505 | 2017-08-22 |
1740717552 | Amber Nichols | Counselor | 2250 Thunderstruck Drive, Lexington, KY 40505 | 2017-05-11 |
1588195770 | Attender Care LLC | In Home Supportive Care | 1022 Highland Park Drive, Lexington, KY 40505 | 2017-03-21 |
1194261750 | Elite Performance & Individualized Care Chiropractic, Pllc | Chiropractor | 1300 E New Circle Rd Ste 160, Lexington, KY 40505 | 2017-01-06 |
1063880870 | Heather Nicole Cox | Nurse Practitioner | 2285 Executive Dr Ste 100, Lexington, KY 40505 | 2015-09-10 |
1962818617 | Paul Wong | Pharmacist | 800 Rose St, Room H110, University of Kentucky, Lexington, KY 40505 | 2014-07-02 |
1720404593 | Kahndra Chauntay Franklin | Specialist | 952 Winchester Rd, Suite 120, Lexington, KY 40505 | 2014-03-17 |
1568734572 | Richard Joseph Simpson | Chiropractor | 1300 E New Circle Rd, Ste 160, Lexington, KY 40505 | 2012-02-07 |
1598040719 | Sena Jill Comfort | Pharmacist | 260 New Circle Rd, Lexington, KY 40505 | 2011-10-19 |
Find all providers in zip 40505 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1962453530 | Mark S Weis | General Practice | 100 Trade St, Ste C, Lexington, KY 40511-2610 | 2006-05-16 |
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.