Comprehensive Medicine of Lexington, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

COMPREHENSIVE MEDICINE OF LEXINGTON, LLC

Practice address

2100 Liberty Rd
Lexington, KY 40509-4319

Phone

(859) 294-0130

Fax

(859) 294-0236

NPI assigned

Jan 15, 2018

Last updated

Jan 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jane G O'Connell

Title

Member

Phone

(859) 294-0130

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1275041006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LIBERTY RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094319",
            "telephone_number": "859-294-0130",
            "fax_number": "859-294-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LIBERTY RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094319",
            "telephone_number": "859-294-0130",
            "fax_number": "859-294-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICINE OF LEXINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "859-294-0130"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "KY",
            "license": "31089",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UROLOGY",
            "identifier": "1730284597",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Lexington, KY
• Providers in Lexington, KY by specialty
• Multi-Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.