Individual provider Active NPI

Susan E. Liddle, M.D.

  • Hematology & Oncology Physician
  • Lexington, KY
National Provider Identifier
1386660140
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
26691 Issued in KY
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

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64266919MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050114000171 KY Practitioner - Hematology/Oncology 5799734992 Reassigns benefits to 3 organizations

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
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

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 Hospital, Lexington, KY, CCN 180067
  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
  • Baptist Health Richmond Hospital, Richmond, KY, CCN 180049
  • Rockcastle County Hospital, Inc. Hospital, Mount Vernon, KY, CCN 180115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic PSC CurrentSince Jan 1, 2005 Accepting new patients
New Lexington Clinic, PSC Hematology & Oncology CurrentSince Jan 1, 2005 Accepting new patients
University of Kentucky CurrentSince Jun 14, 2019 Accepting new patients
Lexington Radiation Therapy Center, P.S.C. CurrentSince Nov 15, 2006 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.