NPIMap

Organization Active NPI

Lexington Vein & Aesthetic Center, PLLC

  • Surgery Physician
  • Lexington, KY
National Provider Identifier
1083777957
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LEXINGTON VEIN & AESTHETIC CENTER, PLLC
Practice address
1055 Dove Run Rd
Lexington, KY 40502-3536
Phone
(859) 269-4668
NPI assigned
Dec 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fadi Bacha, M.D.
Title
President
Phone
(859) 269-4668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1055 Dove Run Rd
Lexington, KY 40502-3536

Mailing address

1055 Dove Run Rd
Lexington, KY 40502-3536
Phone (859) 269-4668

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083777957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 DOVE RUN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023536",
            "telephone_number": "859-269-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 DOVE RUN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023536",
            "telephone_number": "859-269-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON VEIN & AESTHETIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACHA",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-269-4668",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.