MODERN DERMATOLOGY OF KENTUCKY LLC (NPI# 1699382507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699382507 |
| Entity Type | Organization |
| Organization Name | MODERN DERMATOLOGY OF KENTUCKY LLC |
| Practice Address |
177 Burt Rd Lexington KY 40503-2457 |
| Mailing Address |
169 Burt Rd Lexington KY 40503-2455 |
| Practice Telephone | 8592789241 |
| Mailing Telephone | 8592789241 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | MR. FRANK COMBS (MANAGING MEMBER) |
| Authorized Official Telephone | 8592789241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
177 BURT RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114991296 | Clifton Smith | Dermatology | 177 Burt Rd, Lexington, KY 40503-2410 | 2006-02-15 |
| 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 |
| 1053780361 | Kristen Shroyer | Counselor | 177 Burt Rd, Lexington, KY 40503-2457 | 2015-09-16 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316206584 | Carol B Thompson | Dermatology | 3475 Richmond Rd Ste 200, Lexington, KY 40509-2500 | 2012-05-09 |
| 1255389425 | Jill Rebecca Slater-freedberg | Dermatology | 57 Bedford Street, Lexington Waltham Dermatology, Lexington, MA 02420-4500 | 2006-05-04 |
| 1114991296 | Clifton Smith | Dermatology | 177 Burt Rd, Lexington, KY 40503-2410 | 2006-02-15 |
| 1477559128 | Commonwealth Dermatology Psc | Dermatology | 2351 Huguenard Dr, Ste 200, Lexington, KY 40503-3022 | 2005-06-27 |
| 1558364976 | Fernando R. De Castro | Dermatology | 250 Fountain Ct, Lexington, KY 40509-1888 | 2005-05-31 |
| 1497758866 | William Patrick Davey | Dermatology | 2424 Harrodsburg Rd, Suite 200, Lexington, KY 40503-2106 | 2005-05-31 |
| 1629497714 | Skinmd | Dermatology | 989 Governors Ln, Suite 220, Lexington, KY 40513-1173 | 2014-04-16 |
| 1619396439 | Audra Isaac Grossman | Dermatology | 2424 Harrodsburg Rd Ste 200, Lexington, KY 40503 | 2014-04-09 |
| 1154767457 | James Prewitt Lagrew | Dermatology | 2424 Harrodsburg Rd Ste 200, Lexington, KY 40503-2112 | 2013-05-14 |
| 1881030088 | Facial Plastic Surgery & Dermatology Pllc | Dermatology | 448 Lewis Hargett Cir, Ste 240, Lexington, KY 40503-3594 | 2013-05-14 |
| 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.