Organization Active NPI

Danville Osteopathic Internist P.S.C.

  • Internal Medicine Physician
  • Danville, KY
National Provider Identifier
1073718227
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02678 Issued in KY
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64034796MedicaidKY

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.