1801058714 NPI number — DANA MARIE SCOTT-FINLEY D.O.

Table of content: DANA MARIE SCOTT-FINLEY D.O. (NPI 1801058714)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801058714 NPI number — DANA MARIE SCOTT-FINLEY D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCOTT-FINLEY
Provider First Name:
DANA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801058714
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/08/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4071 TATES CREEK CENTRE DR
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40517-3062
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-278-0363
Provider Business Mailing Address Fax Number:
859-276-0047

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1720 NICHOLASVILLE RD
Provider Second Line Business Practice Location Address:
SUITE 402
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40503-1404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-278-0363
Provider Business Practice Location Address Fax Number:
859-276-0047
Provider Enumeration Date:
07/01/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  03593 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)