Lexington Infectious Disease Consultants Psc | |
1720 Nicholasville Rd Ste 602 Lexington KY 40503-1404 | |
(859) 277-4005 | |
(859) 278-2507 |
Full Name | Lexington Infectious Disease Consultants Psc |
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Speciality | Internal Medicine |
Location | 1720 Nicholasville Rd, Lexington, Kentucky |
Authorized Official Name and Position | Mark J Dougherty (PRESIDENT) |
Authorized Official Contact | 8592774005 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lexington Infectious Disease Consultants Psc 1720 Nicholasville Rd Ste 602 Lexington KY 40503-1404 Ph: (859) 277-4005 | Lexington Infectious Disease Consultants Psc 1720 Nicholasville Rd Ste 602 Lexington KY 40503-1404 Ph: (859) 277-4005 |
NPI Number | 1922158294 |
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Provider Enumeration Date | 01/11/2007 |
Last Update Date | 06/07/2013 |
Medicare PECOS PAC ID | 5193706174 |
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Medicare Enrollment ID | O20040526000423 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922158294 | NPI | - | NPPES |
Provider Name | Michael J Miedler |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1548261837 PECOS PAC ID: 1355336678 Enrollment ID: I20041215000956 |
Provider Name | Charles A Kennedy |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1033110150 PECOS PAC ID: 9830156371 Enrollment ID: I20041215001014 |
Provider Name | Susan E Hoff-thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174525158 PECOS PAC ID: 6103878566 Enrollment ID: I20050214000523 |
Provider Name | Marty Allen |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1639217391 PECOS PAC ID: 5890894802 Enrollment ID: I20070712000245 |
Provider Name | Charles E Rose |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1568595874 PECOS PAC ID: 5890895106 Enrollment ID: I20070714000206 |
Provider Name | Tonya G Hatfield |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386839272 PECOS PAC ID: 3375625700 Enrollment ID: I20080124000304 |
Provider Name | Andrea L Banks |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083836399 PECOS PAC ID: 7911090220 Enrollment ID: I20090108000457 |
Provider Name | Elizabeth Piercy |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1437150703 PECOS PAC ID: 6406990316 Enrollment ID: I20100216000488 |
Provider Name | John R Meek |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1891796298 PECOS PAC ID: 9830233758 Enrollment ID: I20100216000534 |
Provider Name | Daniel C Rodrigue |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1386645661 PECOS PAC ID: 5092859918 Enrollment ID: I20100216000552 |
Provider Name | Mark J Dougherty |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1326049628 PECOS PAC ID: 0345221321 Enrollment ID: I20100216000582 |
Provider Name | David F Dougherty |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1104261445 PECOS PAC ID: 2567603947 Enrollment ID: I20180608000857 |
Provider Name | Andrew J Alexander |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1942566807 PECOS PAC ID: 3577704436 Enrollment ID: I20180824002535 |
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