ANDREW RUSSELL ROADS M.D. NPI 1467896845

NPI Information

NPI: 1467896845
Provider Name: ANDREW RUSSELL ROADS, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Organization: KENTUCKY MEDICAL SERVICES FOUNDATION, INC

PECOS Registration: Yes

Address:
UK UNIVERSITY HEALTH SERVICE
830 S LIMESTONE
LEXINGTON, KY
ZIP 40508
Phone: (859) 323-5511
Get Directions

Andrew Russell Roads, M.D. is a child and adolescent psychiatry psychiatry neurology in Lexington, KY with 11 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Andrew Russell Roads, M.D. NPI is 1467896845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

UK UNIVERSITY HEALTH SERVICE
830 S LIMESTONE
LEXINGTON, KY
ZIP 40508
Phone: (859) 323-5511

The NPI 1467896845 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/29/2013 and was last updated on 7/31/2018.

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
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	R3538	KENTUCKY	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	50462	KENTUCKY	Yes

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
1	50462	OTHER	KENTUCKY	FULL MEDICAL LICENSE
2	7100312660	MEDICAID	KENTUCKY

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: 11/14/2023

NPI Synchronization or Removal

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