Active NPI
Susan E. Liddle, M.D.
- Hematology & Oncology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 26691
- Practice address
- 1221 S Broadway
Lexington, KY 40504 - Phone
- (859) 258-4673
- Fax
- (859) 258-6539
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 26691 | KY | Primary |
Addresses
Primary practice location
1221 S Broadway
Lexington, KY 40504
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6520
Other practice location 1
1401 Harrodsburg Rd
Suite A-120
Lexington, KY 40504-3751
Phone (859) 258-6520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64266919 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Sanders-Brown BLDG
Lexington, KY 40536-0001
Phone (859) 257-1412
2019 Corporate Dr
Richmond, KY 40475-8884
Phone (859) 626-9003
2115 Harrodsburg Rd
Lexington, KY 40504-3504
Phone (859) 276-2525
2195 Harrodsburg Rd
Lexington, KY 40504-3504
740 S Limestone
E214
Lexington, KY 40536-0001
Phone (859) 323-3368
770 Rose St
Mn328
Lexington, KY 40536-0001
Phone (859) 323-8873
800 Rose St
Lexington, KY 40536-0001
Phone (859) 257-8562
800 Rose St
Lexington, KY 40536-7001
Phone (859) 257-1000
Hospital & facility affiliations
- University of Kentucky Hospital
- Saint Joseph Hospital
- Baptist Health Richmond
- Rockcastle County Hospital, Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic PSC | Current | Accepting new patients | |
| New Lexington Clinic, PSC | Hematology & Oncology | Current | Accepting new patients |
| University of Kentucky | Current | Accepting new patients | |
| Lexington Radiation Therapy Center, P.S.C. | Current | Accepting new patients |
Locations
740 S Limestone
Lexington, KY 40536
Phone (859) 257-3533
1401 Harrodsburg Rd
Ste A120
Lexington, KY 40504
Phone (859) 258-6520
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
1401 Harrodsburg Rd
Ste A100
Lexington, KY 40504
Phone (859) 258-6505
701 Bob O Link Dr
Ste 100
Lexington, KY 40504
Phone (859) 224-3194
Interoperability endpoints
- sliddle57296@ukhcdirect.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Radiation Oncology Clinic/Center
- Lexington, KY
- NPI 1255426334
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
Hematology & Oncology
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, KY
- NPI 1568452290
-
- General Acute Care Hospital
- Mount Vernon, KY
- NPI 1104890714
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1386660140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-6520",
"fax_number": "859-258-6539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40504",
"telephone_number": "859-258-4673",
"fax_number": "859-258-6539"
}
],
"practiceLocations": [
{
"address_1": "1401 Harrodsburg Rd",
"address_2": "Suite A-120",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405043751",
"country_code": "US",
"telephone_number": "859-258-6520",
"fax_number": "859-258-6539",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIDDLE",
"first_name": "SUSAN",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KY",
"license": "26691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64266919",
"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 Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.