NPIMap

Organization Active NPI

Kentucky Internal Medicine Group

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1164478707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KENTUCKY INTERNAL MEDICINE GROUP
Practice address
125 E Maxwell St
Suite 100
Lexington, KY 40508-2678
Phone
(859) 225-1339
Fax
(859) 389-7317
NPI assigned
May 25, 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
Eric T. Scheper, M.D.
Title
Physician
Phone
(859) 225-1339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X KY Primary

Addresses

Primary practice location

125 E Maxwell St
Suite 100
Lexington, KY 40508-2678

Mailing address

125 E Maxwell St
Suite 100
Lexington, KY 40508-2678
Phone (859) 225-1339

Other identifiers 1

IdentifierTypeStateIssuer
65903346MedicaidKY

National Provider Directory

National Provider Directory

Locations

125 E Maxwell St
Ste 100
Lexington, KY 40508
Phone (859) 225-1339

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164478707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E MAXWELL ST",
            "address_2": "SUITE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082678",
            "telephone_number": "859-225-1339",
            "fax_number": "859-389-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MAXWELL ST",
            "address_2": "SUITE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082678",
            "telephone_number": "859-225-1339",
            "fax_number": "859-389-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY INTERNAL MEDICINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHEPER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "859-225-1339",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65903346",
            "state": "KY"
        }
    ],
    "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.