Dermatology Associates of Kentucky, PSC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

300149 Issued in KY

Legal business name

DERMATOLOGY ASSOCIATES OF KENTUCKY, PSC

Practice address

250 Fountain CT
Lexington, KY 40509-1888

Phone

(859) 263-4444

Fax

(859) 543-8867

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Laurie Massa, M.D.

Title

Managing Partner

Phone

(859) 263-4444

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Patrick Davey, M.D.

  • MOHS-Micrographic Surgery Physician
  • Lexington, KY
  • NPI 1497758866
  NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1275687873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FOUNTAIN CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091888",
            "telephone_number": "859-263-4444",
            "fax_number": "859-543-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FOUNTAIN CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091888",
            "telephone_number": "859-263-4444",
            "fax_number": "859-543-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF KENTUCKY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "MASSA",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "859-263-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KY",
            "license": "300149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & BLUE SHIELD",
            "identifier": "000000304454",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000304454",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Michelle Derer, DMD
• Phillip Derifield, L,M.T,
• Irina Derkach, RD, LD
• Dermatology and Skin Cancer Specialists, PSC
• Dermatology Associates of Kentucky PSC
• Dermatology Associates of Kentucky, PSC
• Dermatology Consultants, PSC
• Hunter Marcel Derouck
• Alyssa Derrick
• Janice Gwen Derrickson, P.T.

• Ambulatory Surgical Clinic/Center in Lexington, KY
• Providers in Lexington, KY by specialty
• Ambulatory Surgical Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.