NPIMap

Organization Active NPI

Imac Medical of Kentucky PSC

  • Pain Management Registered Nurse
  • Lexington, KY
National Provider Identifier
1003562810
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Management Registered NurseTaxonomy code 163WP0000X
Legal business name
IMAC MEDICAL OF KENTUCKY PSC
Practice address
2537 Larkin Rd
Lexington, KY 40503-3201
Phone
(859) 545-0043
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bailee Boyett
Title
Credentialing Specialist
Phone
(615) 678-0024

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

2537 Larkin Rd
Lexington, KY 40503-3201

Mailing address

1605 Westgate Cir Ste 100
Brentwood, TN 37027-8396
Phone (615) 678-0024

Other practice location 1

2725 James Sanders Blvd Ste A
Paducah, KY 42001-8405
Phone (270) 554-5114

Other practice location 2

1601 Highway 121 Byp N Ste B
Murray, KY 42071-8759
Phone (270) 971-4344

Other names 1

  • IMAC Medical of Kentucky PSC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://tonydelkcenter.com/ Direct

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1003562810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 WESTGATE CIR STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278396",
            "telephone_number": "615-678-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 LARKIN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033201",
            "telephone_number": "859-545-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2725 James Sanders Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420018405",
            "country_code": "US",
            "telephone_number": "270-554-5114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Highway 121 Byp N Ste B",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420718759",
            "country_code": "US",
            "telephone_number": "270-971-4344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMAC MEDICAL OF KENTUCKY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "BOYETT",
        "authorized_official_first_name": "BAILEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "615-678-0024"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Pain Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://tonydelkcenter.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2537 Larkin Rd",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405033201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "IMAC Medical of Kentucky PSC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IMAC Medical of Kentucky PSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.