LEE W RICKETTS II MD PLLC NPI 1306020979

NPI Information

  • NPI: 1306020979
  • Provider Name: LEE W RICKETTS II MD PLLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 1782 BRYAN STATION ROAD
    LEXINGTON, KY
    ZIP 40505
  • Phone: (859) 294-0077

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NPI Details

LEE W RICKETTS II MD PLLC is an internal medicine in Lexington, KY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LEE W RICKETTS II MD PLLC NPI is 1306020979. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1782 BRYAN STATION ROAD
LEXINGTON, KY
ZIP 40505
Phone: (859) 294-0077
Fax: (859) 294-0078

The provider's authorized official is Lee W Ricketts .
The authorized official title is Physician Owner and has the following contact phone number (859) 294-0077.

The enumeration date for this NPI number is 12/19/2007 and was last updated on 12/19/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics30881KENTUCKYNo
2207R00000XInternal Medicine30881KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F75684MEDICARE UPINKENTUCKY
20791601OTHERKENTUCKYMEDICARE INDIVIDUAL
37916MEDICARE PINKENTUCKY
4000000308817OTHERKENTUCKYANTHEM
564308810MEDICAIDKENTUCKY

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: 3/30/2025

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