Organization Active NPI

G. Lewis Sutherland, D.P.M.

  • Podiatrist
  • Lexington, KY
National Provider Identifier
1316125073
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
117 Issued in KY
Legal business name
G. LEWIS SUTHERLAND, D.P.M.
Practice address
2130 Nicholasville Rd
Lexington, KY 40503-2520
Phone
(859) 278-7011
Fax
(859) 278-2015
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
G. Lewis Sutherland, D.P.M.
Title
Owner
Phone
(859) 278-7011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 117 KY Primary

Addresses

Primary practice location

2130 Nicholasville Rd
Lexington, KY 40503-2520

Mailing address

2130 Nicholasville Rd
Lexington, KY 40503-2520
Phone (859) 278-7011

Other identifiers 1

IdentifierTypeStateIssuer
80001175MedicaidKY

National Provider Directory

National Provider Directory

Locations

2130 Nicholasville Rd
Lexington, KY 40503
Phone (859) 278-7011

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1316125073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 NICHOLASVILLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032520",
            "telephone_number": "859-278-7011",
            "fax_number": "859-278-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 NICHOLASVILLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032520",
            "telephone_number": "859-278-7011",
            "fax_number": "859-278-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. LEWIS SUTHERLAND, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-278-7011",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80001175",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.