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PEDORTHIC SERVICES LLC NPI 1992818009


NPI Information

NPI: 1992818009
Provider Name: PEDORTHIC SERVICES, LLC

Other Name: HEALTHY FOOT CENTER

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
371 SOUTHLAND DR
LEXINGTON, KY
ZIP 40503
Phone: (859) 266-0420
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PEDORTHIC SERVICES, LLC is a durable medical equipment medical supplies in Lexington, KY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PEDORTHIC SERVICES, LLC NPI is 1992818009. The provider is registered as an organization entity type.
The provider Other Name Is Healthy Foot Center.

The provider's business location address is:

371 SOUTHLAND DR
LEXINGTON, KY
ZIP 40503-824
Phone: (859) 266-0420
Fax: (859) 266-0667

The provider's authorized official is Larry Wheeler .
The authorized official title is Owner and has the following contact phone number (859) 266-0420.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 7/27/2020.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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
15574649OTHERKENTUCKYAETNA
274928OTHERKENTUCKYUNITED HEALTHCARE
3000000519294OTHERKENTUCKYANTHEM BC/BS
45939230001OTHERKENTUCKYMEDICARE DME
57100026770MEDICAIDKENTUCKY

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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