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COMMONWEALTH PODIATRY PLLC NPI 1619985504


NPI Information

NPI: 1619985504
Provider Name: COMMONWEALTH PODIATRY PLLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3080 HARRODSBURG RD
STE 225
LEXINGTON, KY
ZIP 40503
Phone: (859) 296-4272
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COMMONWEALTH PODIATRY PLLC is a podiatrist in Lexington, KY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. COMMONWEALTH PODIATRY PLLC NPI is 1619985504. The provider is registered as an organization entity type.

The provider's business location address is:

3080 HARRODSBURG RD
STE 225
LEXINGTON, KY
ZIP 40503-774
Phone: (859) 296-4272
Fax: (859) 296-9645

The provider's authorized official is Janet Lee Haste .
The authorized official title is Office Manager and has the following contact phone number (859) 236-5140.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 9/3/2013.


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
1332B00000XDurable Medical Equipment & Medical Supplies00228KENTUCKYNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment00228KENTUCKYNo
3213E00000XPodiatristYes

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
190009945MEDICAIDKENTUCKY
280900244MEDICAIDKENTUCKY
35853MEDICARE PINKENTUCKY
45135140001MEDICARE NSCKENTUCKY

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

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