Kentucky Dermatology Obs London Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KENTUCKY DERMATOLOGY OBS LONDON INC

Practice address

177 Burt Rd
Lexington, KY 40503-2410

Phone

(859) 276-1511

Fax

(859) 276-3373

NPI assigned

Mar 9, 2007

Last updated

Mar 13, 2008By 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

Dr. Clifton Smith, MDNPI 1114991296

Title

Owner

Phone

(859) 276-1511

Specialties & licenses 1

Addresses

Locations

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.

• Clifton Smith, MD

  • Procedural Dermatology Physician
  • Lexington, KY
  • NPI 1114991296
  Authorized official Same address or phone

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1336271048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 HIGHWAY 192 W",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412639",
            "telephone_number": "859-276-1511",
            "fax_number": "859-276-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 BURT RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032410",
            "telephone_number": "859-276-1511",
            "fax_number": "859-276-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY DERMATOLOGY OBS LONDON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-276-1511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kentucky Easter Seal Society Inc (Cardinal Hill Rehabilitation Hospital)
• Kentucky Easter Seal Society Inc (Cardinal Hill Rehabilitation Unit at Samaritan Hospital)
• Kentucky Easter Seal Society Inc (Cardinal Hill Rehabilitation Hospital)
• Kentucky Easter Seal Society Inc (Cardinal Hill Medical Associates)

• 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 Mar 13, 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.