Commonwealth Podiatry Pllc
LBN: Commonwealth Podiatry Pllc
Commonwealth Podiatry Pllc is an health care organization with primary practice located at 3080 Harrodsburg Rd Ste 225, Lexington KY 40503-2774. The organization recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Commonwealth Podiatry Pllc can be contacted via phone (859) 296-4272, or through Haste, Janet Lee via phone (859) 236-5140.
Contact Information
Primary practice address
3080 Harrodsburg Rd Ste 225
Lexington KY 40503-2774
Phone: (859) 296-4272
Fax: (859) 296-9645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 00228 | Kentucky |
| Suppliers / Customized Equipment | 332BC3200X | 00228 | Kentucky |
Profile Details
| NPI number | 1619985504 |
|---|---|
| LBN Legal business name | Commonwealth Podiatry Pllc |
| DBA Doing business as | |
| Authorized official | Haste, Janet Lee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Sep 3rd, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619985504 | NPPES |
| Kentucky | MEDICAID | 80900244 | |
| Kentucky | MEDICAID | 90009945 |
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