JERRY W LOCKARD DO NPI 1669466058

NPI Information

NPI: 1669466058
Provider Name: JERRY W LOCKARD, DO
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
432 16TH ST
SUITE B
ASHLAND, KY
ZIP 41101
Phone: (606) 329-9335
Get Directions

Jerry W Lockard, DO is a nephrology internal medicine in Ashland, KY. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Jerry W Lockard, DO NPI is 1669466058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

432 16TH ST
SUITE B
ASHLAND, KY
ZIP 41101-693
Phone: (606) 329-9335
Fax: (606) 324-6383

The enumeration date for this NPI number is 8/31/2005 and was last updated on 8/4/2011.

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	207RN0300X	Internal Medicine	Nephrology	02431	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
1	64024318	MEDICAID	KENTUCKY
2	0129980	MEDICAID	OHIO
3	0079552000	MEDICAID	WEST VIRGINIA
4	F98621	MEDICARE UPIN	KENTUCKY
5	LO0811531	MEDICARE ID-TYPE UNSPECIFIED	OHIO

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

NPI Synchronization or Removal

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