Lexington Clinic Kidney Center

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

300084 Issued in KY

Legal business name

LEXINGTON CLINIC KIDNEY CENTER

Practice address

350 Elaine Dr
Suite 200
Lexington, KY 40504-2741

Phone

(859) 253-2520

Fax

(859) 253-2583

NPI assigned

Nov 9, 2006

Organization subpart

Yes

Parent organization

LEXINGTON CLINIC KIDNEY CENTERAs reported in NPPES

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

Authorized official

Name

Randall K. Lemay

Title

Chief Financial Officer

Phone

(859) 258-4101

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Lexington Clinic Kidney Center

Locations

Practitioners 1

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

• Andrew H. Henderson III, M.D

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1760417216
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1306916028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ELAINE DR",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042741",
            "telephone_number": "859-253-2520",
            "fax_number": "859-253-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ELAINE DR",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042741",
            "telephone_number": "859-253-2520",
            "fax_number": "859-253-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON CLINIC KIDNEY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEXINGTON CLINIC KIDNEY CENTER",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "LEMAY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "859-258-4101"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "KY",
            "license": "300084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "0169",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39090311",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lexington Anesthesia, PSC
• Lexington Bluegrass Airport
• Lexington Caregivers LLC (Lexington Caregivers)
• Lexington Child and Adolescent Psychiatry
• Lexington Children's Dentistry
• Lexington Clinic Laboratory Inc
• Lexington Compounding Pharmacy, Inc. (Lexington Compounding Pharmacy)
• Lexington Counseling and Psychiatry, PLLC
• Lexington Dental Sleep Therapy, PLLC
• Lexington Dermatology & Laser Center PSC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lexington, KY
• Providers in Lexington, KY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.