VINCENT PRUSICK (NPI# 1902164411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902164411 |
| Entity Type | Individual |
| Full Name | VINCENT PRUSICK |
| Credential | M.D. |
| Practice Address |
110 Conn Ter Lexington KY 40508 |
| Mailing Address |
110 Conn Ter Lexington KY 40508-3206 |
| Practice Telephone | 5862685741 |
| Mailing Telephone | 8592685622 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
51561 | KY | Allopathic & Osteopathic Physicians |
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
56224 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 Childrens Way, Nashville, TN 37232 | (615) 875-6184 | |
| University of Kentucky, 800 Rose Street Hq101, Lexington, KY 405360001 | 8592183044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922022888 | Vincent R Prusick | Orthopaedic Surgery | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2006-07-26 |
| Street Address |
110 CONN TER |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487690673 | Ryan D. Muchow | Orthopaedic Surgery | 110 Conn Ter, Lexington, KY 40508-3206 | 2006-06-22 |
| 1730730656 | Katy Ayers Marcum | Nurse Practitioner | 110 Conn Ter, Lexington, KY 40508-3206 | 2019-09-23 |
| 1467007757 | Adrianne Marx | Physical Therapist | 110 Conn Ter, Lexington, KY 40508-3206 | 2019-08-05 |
| 1336639780 | Shriners Hospitals for Children | Anesthesiology | 110 Conn Ter, Lexington, KY 40508-3206 | 2018-05-11 |
| 1770099509 | Lauren Travis Snyder | Physician Assistant | 110 Conn Ter, Lexington, KY 40508-3206 | 2017-12-15 |
| 1619416559 | Henry Dulin White II | Physical Therapist | 110 Conn Ter, Lexington, KY 40508-3206 | 2017-02-13 |
| 1457808495 | Shriners Hospitals for Children | Physician Assistant | 110 Conn Ter, Lexington, KY 40508-3206 | 2016-09-07 |
| 1801249925 | Shriners Hospitals for Children | Clinic/Center | 110 Conn Ter, Lexington, KY 40508-3206 | 2016-07-14 |
| 1356794473 | Shriners Hospitals for Children | Clinic/Center | 110 Conn Ter, Lexington, KY 40508-3206 | 2016-07-14 |
| 1578937876 | Pediatric Orthotic and Prosthetic Services-midwest, LLC | Prosthetic/Orthotic Supplier | 110 Conn Ter, Lexington, KY 40508-3206 | 2015-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906192 | Core Chiropractic and Family Wellness Pllc | Clinic/Center | 524 E.second St, Lexington, KY 40508 | 2019-01-14 |
| 1831669720 | Lily Namegabe | Community Health Worker | 135 Newtown Pike Bldg 1, Lexington, KY 40508 | 2018-12-04 |
| 1669994091 | Shawn Luchtefeld | Counselor | 289 W Loudon Ave, Lexington, KY 40508 | 2017-07-07 |
| 1861808271 | Rucha Shukla | Pediatrics | 138 Leader Ave Rm 9a, Lexington, KY 40508 | 2014-07-07 |
| 1881012946 | Peter Movilla | Obstetrics & Gynecology | Uk Women's Health Obstetrics and Gynecology, 125 E Maxwell St Ste 140, Lexington, KY 40508 | 2014-04-04 |
| 1255753422 | Candace Cross | Social Worker | Kentucky Counseling Center, LLC, 1353 West Main Street, Kentucky, Lexington, KY 40508 | 2014-01-07 |
| 1467896845 | Andrew Russell Roads | Psychiatry & Neurology | Uk University Health Service, 830 S Limestone, Lexington, KY 40508 | 2013-04-29 |
| 1104119890 | Thomas Michael Isaacs | Pharmacist | 130 W. Loudon Ave, Lexington, KY 40508 | 2011-05-27 |
| 1174839401 | Gerardo Manuel Heredia Melero | Obstetrics & Gynecology | Uk Obgyn, 125 E. Maxwell Street, Lexington, KY 40508 | 2010-08-24 |
| 1558512814 | Cortney Youens Lee | Surgery | 125 E. Maxwell St, Suite 302, Lexington, KY 40508 | 2008-10-06 |
| Find all providers in zip 40508 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487690673 | Ryan D. Muchow | Orthopaedic Surgery | 110 Conn Ter, Lexington, KY 40508-3206 | 2006-06-22 |
| 1881804441 | Patrick J Serey | Orthopaedic Surgery | 110 Conn Ter, Lexington, KY 40508-3206 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285989368 | Kent L Walker | Orthopaedic Surgery | 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207 | 2012-07-16 |
| 1285897637 | Jennifer M Brey | Orthopaedic Surgery | 3999 Dutchmans Ln, Suite 6f, Louisville, KY 40207-4729 | 2008-07-07 |
| 1417174129 | Joshua William Meier | Orthopaedic Surgery | 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207-4729 | 2007-04-20 |
| 1922063312 | Laura K Jacks | Orthopaedic Surgery | 3999 Dutchmans Ln, Ste 6f, Louisville, KY 40207-4729 | 2006-04-19 |
Please comment or provide details below to improve the information on VINCENT PRUSICK.
| 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.