Individual provider Active NPI

Dana Mark Soucy, M.D.

  • Orthopaedic Surgery Physician
  • Frankfort, KY
National Provider Identifier
1194828343
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
40531 Issued in KY
Practice address
101 Medical Heights Dr
Suite F
Frankfort, KY 40601-4137
Phone
(502) 875-1766
Fax
(502) 875-5350
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X K3647 TX
Orthopaedic Surgery Physician 207X00000X 40531 KY Primary

Addresses

Primary practice location

101 Medical Heights Dr
Suite F
Frankfort, KY 40601-4137

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070724000686 KY Practitioner - Orthopedic Surgery 8921052267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy, IncGroup PAC ID 0143245415, 118 clinicians
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians
Rebound Orthopaedics Sports MedicineGroup PAC ID 4789628959, 2 clinicians

Practice addresses (Care Compare)

1004 Leawood Dr
Frankfort, KY 40601-3349
Phone (502) 223-7403

101 Medical Heights Dr
Frankfort, KY 40601-4137
Phone (502) 223-5758

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K3647TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic PSC CurrentSince Apr 1, 2024 Accepting new patients
New Lexington Clinic, PSC CurrentSince Apr 1, 2024 Accepting new patients
Rebound Orthopaedics Sports Medicine Orthopaedic Surgery CurrentSince Jan 2, 2007 Accepting new patients
Covenant Medical Group Past Accepting new patients

Locations

101 Medical Heights Dr
Ste F
Frankfort, KY 40601
Phone (502) 875-1766

101 Medical Heights Dr
Frankfort, KY 40601
Phone (502) 223-5758

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

Interoperability endpoints

  • Direct secure messaging: dana.soucy.1@13059.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1194828343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL HEIGHTS DR",
            "address_2": "SUITE F",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014137",
            "telephone_number": "502-875-1766",
            "fax_number": "502-875-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUCY",
        "first_name": "DANA",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K3647",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "40531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.