DR. FRED L. PICKLESIMER (NPI# 1699774992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699774992 |
| Entity Type | Individual |
| Full Name | DR. FRED L. PICKLESIMER |
| Credential | M.D. |
| Practice Address |
290 Big Run Rd Lexington KY 40503-2903 |
| Practice Telephone | 8592789513 |
| Practice Fax Number | 8592776063 |
| Mailing Telephone | 8592789513 |
| Mailing Fax Number | 8592776063 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
37331 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64052657 | 05 |
| Street Address |
290 BIG RUN RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906488 | Marian H Bensema | Pathology | 290 Big Run Rd, Lexington, KY 40503-2903 | 2005-07-18 |
| 1952644734 | Bradley Gibson | Pathology | 290 Big Run Rd, Lexington, KY 40503 | 2013-03-31 |
| 1285924795 | Cynthia A Forker | Pathology | 290 Big Run Rd, Lexington, KY 40503-2903 | 2011-04-18 |
| 1942431366 | Jason A Mull | Pathology | 290 Big Run Rd, Lexington, KY 40503-2903 | 2009-08-03 |
| 1992935845 | Brian C. Klazynski | Pathology | 290 Big Run Rd, Lexington, KY 40503-2903 | 2009-07-24 |
| 1205062833 | Ana Werner Watts | Pathology | 290 Big Run Rd, Lexington, KY 40503-2903 | 2009-06-10 |
| 1508033747 | Jason Clark | Pathology | 290 Big Run Rd, Lexington, KY 40503-2903 | 2008-05-15 |
| 1720184773 | Douglas D. Damm | Dentist | 290 Big Run Rd, Lexington, KY 40503 | 2006-09-16 |
| 1447261201 | Keith A Henry | Pathology | 290 Big Run Rd, Lexington, KY 40503-2903 | 2006-08-10 |
| 1780628313 | Alexander Castiello | Pathology | 290 Big Run Rd, Lexington, KY 40503-2903 | 2006-06-15 |
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|---|---|---|---|---|
| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275064743 | Treeva Jassim | Pathology | 800 Rose St Ste Ms -117, Lexington, KY 40536 | 2017-03-25 |
| 1184983819 | Jessica Howard | Pathology | 3408 Squire Oak Dr, Lexington, KY 40515-1338 | 2012-05-15 |
| 1073871802 | Zhan Ye | Pathology | Department of Pathology 800 Rose St, Ms117, Lexington, KY 40536-0298 | 2012-04-30 |
| 1568720498 | Beth Ellen Frost | Pathology | Hq101 University of Kentucky, 800 Rose Street, Lexington, KY 40536-0288 | 2012-04-28 |
| 1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
| 1194915231 | Nina Tamara Frusztajer | Pathology | 7 Woodland Rd, Lexington, MA 02420-2006 | 2007-07-25 |
| 1215132550 | Elena Samoilova | Pathology | Uk Department of Pathology 800 Rose St, Ms147, Lexington, KY 40536-0298 | 2007-06-18 |
| 1013025436 | Meggen Walsh | Pathology | University of Kentucky and Affiliates 800 St, Lexington, KY 40536-0001 | 2006-08-26 |
| 1215942933 | Strata Pathology Services Inc | Pathology | One Cranberry Hill, Suite 303, Lexington, MA 02421 | 2006-07-30 |
| 1275590994 | Mlc Pathology, Inc. | Pathology | 6 Angier Rd, Lexington, MA 02420-1609 | 2006-04-27 |
| 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.