Kenneth T McCoun, DO
Individual provider Active NPI Anesthesiology Physician · Lexington, KY
NPI 1174610620 · NPPES record last updated Apr 14, 2008
Key facts
- NPI
- 1174610620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 02902 (KY)
- Practice address
- 800 Rose St
Lexington, KY 40536-0001 - Phone
- (859) 323-5956
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Anesthesia, PSC
Practice addresses (Care Compare)
1740 Nicholasville Rd
Lexington, KY 40503-1431
Phone (859) 260-2198
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050920000603 | KY | Practitioner - Anesthesiology | 7416981436 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Anesthesia, PSC | Anesthesiology | Current |
Accepting new patients |
| Kentucky Medical Services Foundation, Inc | Anesthesiology | Current |
Accepting new patients |
| University of Kentucky | Past | Accepting new patients |
Locations
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
2333 Alumni Park Plz
Ste 200
Lexington, KY 40517
1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 02902 | KY | Yes |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 02902 | KY |
Addresses
Primary practice location
800 Rose St
Lexington, KY 40536-0001
Mailing address
2333 Alumni Park PLZ
Suite 200
Lexington, KY 40517-4012
Phone (859) 257-7910
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64102817 | Medicaid | KY |
Other providers in Lexington, KY
- James Richard McCormick Jr.
- John Kelly McCormick
- Malkanthie Indhira McCormick
- Michael D McCormick
- Miranda McCormick
- Alexis Shay McCourt
- Meredith Kathryn McCowan
- Robert McCowan
- Shae McCowan
- Weston Lennon McCowan
All providers in Lexington, KY · Anesthesiology 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 Apr 14, 2008. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.