Active NPI
Danville Osteopathic Internist P.S.C.
- Internal Medicine Physician
- Danville, KY
National Provider Identifier
1073718227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 02678
- Legal business name
- DANVILLE OSTEOPATHIC INTERNIST P.S.C.
- Practice address
- 101 S 2ND St
Danville, KY 40422-1801 - Phone
- (859) 238-9310
- Fax
- (859) 238-9312
- NPI assigned
- Jun 18, 2007
- Last updated
- Jan 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Todd F Lackney, D.O., M.S., P.T.
- Title
- Physician
- Phone
- (859) 238-9310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 02678 | KY | Primary |
Addresses
Primary practice location
101 S 2ND St
Danville, KY 40422-1801
Mailing address
101 S 2ND St
Danville, KY 40422-1801
Phone (859) 238-9310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64034796 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
101 S 2nd St
Danville, KY 40422
Phone (859) 236-9662
105 Ponder Ct
Ste 101
Danville, KY 40422
Phone (859) 238-9310
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.
-
- Family Medicine Physician
- Danville, KY
- NPI 1275642860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357171200000",
"number": "1073718227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S 2ND ST",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404221801",
"telephone_number": "859-238-9310",
"fax_number": "859-238-9312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S 2ND ST",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404221801",
"telephone_number": "859-238-9310",
"fax_number": "859-238-9312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANVILLE OSTEOPATHIC INTERNIST P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-18",
"last_updated": "2013-01-03",
"status": "A",
"authorized_official_last_name": "LACKNEY",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "859-238-9310",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O., M.S., P.T."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "02678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64034796",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, KY
- Danville Medical Practice PLLC
- Danville Medical Specialists
- Danville Medical Specialty
- Danville Nephrology Consultants
- Danville Orthopaedics & Sports Medicine, PSC
- Danville Pathology Associates PLLP
- Danville Pediatric Dentistry, PSC
- Danville Pediatrics and Primary Care, PLLC
- Danville Pediatrics and Primary Care, PLLC
- Danville Pediatrics Medical Group PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.