NPIMap

Organization Active NPI

Lifeworks Aesthetic Center, PSC

  • Specialist
  • Paducah, KY
National Provider Identifier
1043372279
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15202 Issued in KY
Legal business name
LIFEWORKS AESTHETIC CENTER, PSC
Practice address
242 Berger Rd
Paducah, KY 42003-4522
Phone
(270) 444-0119
Fax
(270) 444-9129
NPI assigned
Dec 14, 2006
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Peter A Ward, MDNPI 1851329122
Title
President
Phone
(270) 444-0119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 15202 KY Primary

Addresses

Primary practice location

242 Berger Rd
Paducah, KY 42003-4522

Mailing address

242 Berger Rd
Paducah, KY 42003-4522
Phone (270) 444-0119

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1043372279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 BERGER RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034522",
            "telephone_number": "270-444-0119",
            "fax_number": "270-444-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 BERGER RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034522",
            "telephone_number": "270-444-0119",
            "fax_number": "270-444-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS AESTHETIC CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-444-0119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "15202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.