Provider Type Icon

COMMONWEALTH OF KENTUCKY NPI 1750552857


NPI Information

NPI: 1750552857
Provider Name: COMMONWEALTH OF KENTUCKY

Doing Business As: EASTERN STATE HOSPITAL

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1350 BULL LEA RD
LEXINGTON, KY
ZIP 40511
Phone: (859) 246-8000
Get Directions

COMMONWEALTH OF KENTUCKY is a neurology psychiatry neurology in Lexington, KY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. COMMONWEALTH OF KENTUCKY NPI is 1750552857. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eastern State Hospital.

The provider's business location address is:

1350 BULL LEA RD
LEXINGTON, KY
ZIP 40511-247
Phone: (859) 246-8000
Fax: (859) 246-8043

The provider's authorized official is Stephanie Craycraft .
The authorized official title is Director and has the following contact phone number (502) 782-6243.

The enumeration date for this NPI number is 3/17/2008 and was last updated on 10/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3208D00000XGeneral PracticeNo
4363A00000XPhysician AssistantNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
62084N0400XPsychiatry & NeurologyNeurologyKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100105800MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.