Davanand Doodnauth,M.D., PSC
Organization Active NPI Internal Medicine Physician · Lexington, KY
NPI 1093019093 · NPPES record last updated Jul 8, 2021
Key facts
- NPI
- 1093019093
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- DAVANAND DOODNAUTH,M.D., PSC
- Practice address
- 1050 Monarch St Ste 300
Lexington, KY 40513-1877 - Phone
- (859) 286-9951
- Fax
- (859) 286-9952
- NPI assigned
- Jan 5, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Davanand Doodanuth, MD
- Title
- President
- Phone
- (859) 523-0732
Practitioners 22
-
Torey Arnett, ARNP
-
Apryl Mae Butler, APRN
-
Kristinalin Caldwell, ARNP
-
Jennifer Richards Clark, APRN
-
Alisha Dangol, APRN
-
Tabitha Ann Knight, APRN
-
Rosa Lee Langley, APRN
-
Kendra Sue McClellan, ACNPC-AG
-
Jennifer McCord, FNP-C
-
Stacy Lynn Mills, APRN
-
Amie Osborne David, APRN
-
Jane Alan Owens, ARNP
-
Olga Maria Skinner, APRN
-
Jesus Victor Tovar, M.D.
-
Katherine R Waugh, APRN
-
Nazia Atique, MD
-
Elizabeth Crance, PA-C
-
Patricia K Garrett, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110301000206 | KY | Part B Supplier - Clinic/Group Practice | 5799966446 |
Receives reassigned benefits from 22 practitioners Practice locations: Lexington, KY |
National Provider Directory
Locations
1050 Monarch St
Ste 300
Lexington, KY 40513
Phone (859) 286-9951
386 Waller Ave
Ste 108
Lexington, KY 40504
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Speech-Language Pathologist |
235Z00000X | |||
| General Acute Care Hospital | 282N00000X | 40574 | KY | |
| Medical Physician Assistant |
363AM0700X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1050 Monarch St Ste 300
Lexington, KY 40513-1877
Mailing address
PO Box 911014
Lexington, KY 40591-1014
Phone (859) 523-0732
Other providers in Lexington, KY
- Kathleen S Daugherty
- Mary Courtenay Daugherty
- Michael Edward Daugherty
- Phillip Daugherty
- William Daugherty
- Kinjal Dave
- Robert Alan Davenport
- Ryan Tierra Davenport
- William Patrick Davey
- David B Cassidy, MD, PLLC
All providers in Lexington, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.