Kentucky Sports Medicine Clinic

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

KENTUCKY SPORTS MEDICINE CLINIC

Practice address

601 Perimeter Dr
Suite 200
Lexington, KY 40517-4121

Phone

(859) 268-0268

Fax

(859) 268-4519

NPI assigned

Feb 15, 2007

Last updated

Aug 22, 2020By 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

Ms. Cindy Machal Short

Title

Practice Manager

Phone

(859) 268-0268

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary L Ireland, M.D.

  • Orthopaedic Surgery Physician
  • Lexington, KY
  • NPI 1427072883
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326181728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PERIMETER DR",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174121",
            "telephone_number": "859-268-0268",
            "fax_number": "859-268-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PERIMETER DR",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174121",
            "telephone_number": "859-268-0268",
            "fax_number": "859-268-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY SPORTS MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "MACHAL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "859-268-0268",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAILROAD MEDICARE #",
            "identifier": "CM6945",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65939795",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kentucky Renal Care Group, LLC (Kentucky Renal Care Group - Lexington North)
• Kentucky Renal Care Group, LLC (Kentucky Renal Care Group-Lexington East)
• Kentucky Services, LLC
• Kentucky Services, LLC
• Kentucky Sleep Center, LLC
• Kentucky Technical Services, PSC
• Kentucky Therapy Solutions, LLC (Kentucky Therapy Solutions)
• Kentucky Urgent Care Walk-in Clinic
• Kentuckyone Health Medical Group, Inc. (CHI Saint Joseph Medical Group)
• Kentuckyone Health Medical Group, Inc. (CHI Saint Joseph Medical Group)

• Orthopaedic Surgery Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Orthopaedic Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.