1609939032 NPI number — LEXINGTON FOOT AND ANKLE CENTER PSC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609939032 NPI number — LEXINGTON FOOT AND ANKLE CENTER PSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEXINGTON FOOT AND ANKLE CENTER PSC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MICHAEL C ALLEN PSC
Provider Other Organization Name Type Code:
4
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:
1609939032
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1401 HARRODSBURG RD
Provider Second Line Business Mailing Address:
C115
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40504-3751
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-278-8855
Provider Business Mailing Address Fax Number:
859-278-8856

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1401 HARRODSBURG RD
Provider Second Line Business Practice Location Address:
C115
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40504-3751
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-278-8855
Provider Business Practice Location Address Fax Number:
859-278-8856
Provider Enumeration Date:
12/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ALLEN
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
C
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
859-278-8855

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X , with the licence number:  213ES0103X , 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)

  • Identifier: 0000001164048 . This is a "CHA DR. ALLEN" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000188181 . This is a "ANTHEM DR. ALLEN" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 80002363 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: CH6950 . This is a "RRMC GROUP" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 480033145 . This is a "RRMC DR. ALLEN" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 5710659 . This is a "FIRST HEALTH DR. FINE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 80000417 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2700180 . This is a "UHC DR. HARROD" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 7100003410 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1150286 . This is a "PASSPORT DR. ALLEN" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 80900061 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000491228 . This is a "ANTHEM DR. FINE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 7173811 . This is a "AETNA DR. FINE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 90003138 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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