DR. ROSEOH MARIE HACKETT


Address: 1221 S Broadway, Lexington, KY 40504-2701
Phone: 8592584181

DR. ROSEOH MARIE HACKETT (NPI# 1891801445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891801445
Entity Type Individual
Full Name DR. ROSEOH MARIE HACKETT
Credential DO
Practice Address 1221 S Broadway
Lexington
KY 40504-2701
Practice Telephone 8592584181
Practice Fax Number 8592584058
Mailing Telephone 8592584181
Mailing Fax Number 8592584058
Enumeration Date 2006-08-23
Last Update Date 2008-05-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
02132 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY RR MEDICARE PIN P00472053 01

Office Location

Street Address 1221 S BROADWAY
City LEXINGTON
State KY
Zip Code 40504-2701

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174037949 Justin Byron Hall Radiology 3452 Milam Ln, Lexington, KY 40502-3652 2017-11-30
1750731048 Brent A Pressman Radiology 800 Rose St Rm Hx-315, Lexington, KY 40536-1227 2016-06-16
1952783672 Harit Kapoor Radiology 800 Rose St Rm No, Lexington, KY 40536-4818 2015-06-19
1003159047 Gilroy Lane Daley Sr. Radiology 3111 Maria Drive, Lexington, KY 40516 2013-03-28
1629336573 Chad Herman Barker Radiology Uk-gme, 800 Rose Street, Room Hq-101, Lexington, KY 40536-0001 2012-04-29
1194010561 Aaron David Fain Radiology Ukmc Department of Radiology, 800 Rose Street, Lexington, KY 40536-0001 2011-06-14
1790077113 Sarah Milam Deraney Radiology 800 Rose St # Hx316, Lexington, KY 40536-0001 2011-05-03
1851529424 Miguel Alexis Pereira Rodriguez Radiology 800 Rose St # Hx315e, Lexington, KY 40536-0293 2009-06-23
1588810451 Gaby Gabriel Radiology 800 Rose St Rm Hx-311, Lexington, KY 40536-0293 2008-08-12
1730343674 Stephen Hobbs Radiology 800 Rose St Rm Hx302, University of Kentucky Hospital, Lexington, KY 40536-0001 2008-07-10
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City LEXINGTON
Zip Code 40504

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Dataset Information

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.

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