Organization Active NPI

Kentucky Medical Rehab Center

  • Diagnostic Radiology Physician
  • Nicholasville, KY
National Provider Identifier
1023276177
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
15283 Issued in KY
Legal business name
KENTUCKY MEDICAL REHAB CENTER
Practice address
305 Stonegate
Nicholasville, KY 40356
Phone
(859) 885-1941
NPI assigned
May 27, 2008
Last updated
Feb 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Dr. Darryl Lee Dochterman, MD
Title
Radiologist/General Practice
Phone
(859) 576-8637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 15283 KY Primary

Addresses

Primary practice location

305 Stonegate
Nicholasville, KY 40356

Mailing address

208 Stone Ave
Lexington, KY 40508-2644
Phone (859) 309-1908

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1023276177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 STONE AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082644",
            "telephone_number": "859-309-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 STONEGATE",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "40356",
            "telephone_number": "859-885-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY MEDICAL REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "DOCHTERMAN",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "RADIOLOGIST/GENERAL PRACTICE",
        "authorized_official_telephone_number": "859-576-8637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "15283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.