Individual provider Active NPI

John E Reesor, M.D.

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1447255922
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22660 Issued in KY
Practice address
1775 Alysheba Way
Ste 201
Lexington, KY 40509-2279
Phone
(859) 278-5007
Fax
(859) 278-6867
NPI assigned
Jun 20, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22660 KY Primary

Addresses

Primary practice location

1775 Alysheba Way
Ste 201
Lexington, KY 40509-2279

Mailing address

1775 Alysheba Way
Ste 201
Lexington, KY 40509-2279
Phone (859) 278-5007

Other identifiers 1

IdentifierTypeStateIssuer
64226608MedicaidKY

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
I20100430000734 KY Practitioner - Family Practice 6002944618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Associates of Lexington PSCGroup PAC ID 0749275022, 21 clinicians

Practice addresses (Care Compare)

1775 Alysheba Way
Suite 201
Lexington, KY 40509-2381
Phone (859) 977-2120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22660KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates of Lexington PSC Family Medicine CurrentSince Feb 19, 2001 Accepting new patients

Locations

1775 Alysheba Way
Ste 201
Lexington, KY 40509
Phone (606) 278-5007

615 E Brannon Rd
Ste 100
Nicholasville, KY 40356
Phone (859) 278-5007

Interoperability endpoints

  • Direct secure messaging: johnreesor@fpal.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447255922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 ALYSHEBA WAY",
            "address_2": "STE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092279",
            "telephone_number": "859-278-5007",
            "fax_number": "859-278-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 ALYSHEBA WAY",
            "address_2": "STE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092279",
            "telephone_number": "859-278-5007",
            "fax_number": "859-278-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESOR",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "22660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64226608",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.