Ameripath Kentucky Inc
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Lexington, KY
NPI 1205808995 · NPPES record last updated Apr 17, 2025
Key facts
- NPI
- 1205808995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 18D0323305 (KY)
- Legal business name
- AMERIPATH KENTUCKY INC
- Practice address
- 2620 Wilhite Dr
Suite 213
Lexington, KY 40503-3385 - Phone
- (859) 275-1922
- Fax
- (859) 225-3154
- NPI assigned
- Feb 6, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- AMERIPATH INC.
Authorized official
- Name
- Darren Thomas Wheeler
- Title
- Vice President
- Phone
- (702) 733-7866
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Member of 1
Practitioners 2
-
James P Bodnar, MD
-
Brian D Hornback, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040506001529 | KY | Part B Supplier - Clinic/Group Practice | 5294724183 |
Receives reassigned benefits from 1 practitioner Practice locations: Maysville, KY |
National Provider Directory
- Tax ID family
- Ameripath Kentucky Inc
Locations
989 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (502) 570-3727
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | 18D0323305 | KY | Yes |
Addresses
Primary practice location
2620 Wilhite Dr
Suite 213
Lexington, KY 40503-3385
Mailing address
14275 Midway Rd Ste 400
Addison, TX 75001-3614
Phone (214) 932-8018
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810008434 | Medicaid | WV | |
| 65939803 | Medicaid | KY |
Other providers in Lexington, KY
- American Mobility Products, LLC
- American Nursing Services
- American Wound Care Ky PLLC
- Amerimed, LLC
- Jeremy Lee Amerine
- Ameripath Kentucky Inc
- Falguni Amin-Zimmerman
- Amity Home Care LLC
- Sobia Amjad
- Melissa Ward Ammerman
All providers in Lexington, KY · Anatomic Pathology & Clinical Pathology 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 17, 2025. 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.