NPIMap

Organization Active NPI

Kentucky Medical Services Foundation, Inc

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1356817274
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
KENTUCKY MEDICAL SERVICES FOUNDATION, INC
Practice address
845 Angliana Ave
Lexington, KY 40508-3146
Phone
(859) 323-9321
Fax
(859) 257-5232
NPI assigned
Oct 18, 2018
Organization subpart
Yes
Parent organization
KENTUCKY MEDICAL SERVICES FOUNDATION, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Dr. Marcus E Randall
Title
Authroized Official, Chair, Departm
Phone
(859) 257-7618

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X

Addresses

Primary practice location

845 Angliana Ave
Lexington, KY 40508-3146

Mailing address

Uk Healthcare Medical Staff Affairs
740 S. Limestone K005Q
Lexington, KY 40536-0284
Phone (859) 323-2374

National Provider Directory

National Provider Directory
Tax ID family
Kentucky Medicl Services30 organizations share this tax ID, including this one
Part of
Kentucky Medicl Services

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1356817274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UK HEALTHCARE MEDICAL STAFF AFFAIRS",
            "address_2": "740 S. LIMESTONE K005Q",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360284",
            "telephone_number": "859-323-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 ANGLIANA AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405083146",
            "telephone_number": "859-323-9321",
            "fax_number": "859-257-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY MEDICAL SERVICES FOUNDATION, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENTUCKY MEDICAL SERVICES FOUNDATION, INC",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHROIZED OFFICIAL, CHAIR, DEPARTM",
        "authorized_official_telephone_number": "859-257-7618",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 18, 2018; 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.