Organization Active NPI

Susan E Neil MD. PSC

  • Primary Care Clinic/Center
  • Lexington, KY
National Provider Identifier
1508174616
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
26109 Issued in KY
Legal business name
SUSAN E NEIL MD. PSC
Practice address
2101 Nicholasville Rd
Ste 206
Lexington, KY 40503-2518
Phone
(859) 278-6345
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Susan E Neil, M.D.NPI 1225026826
Title
Physician
Phone
(859) 278-6345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 26109 KY Primary

Addresses

Primary practice location

2101 Nicholasville Rd
Ste 206
Lexington, KY 40503-2518

Mailing address

2101 Nicholasville Rd
Ste 206
Lexington, KY 40503-2518
Phone (859) 278-6345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101119000935 KY Part B Supplier - Clinic/Group Practice 5294921987 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0962807Susan E Neil MD PSC2101 Nicholasville Rd Suite 206, Lexington, KY 40503Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory

Locations

2101 Nicholasville Rd
Ste 206
Lexington, KY 40503
Phone (606) 278-6345

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJFFAA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1508174616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NICHOLASVILLE RD",
            "address_2": "STE 206",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032518",
            "telephone_number": "859-278-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NICHOLASVILLE RD",
            "address_2": "STE 206",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032518",
            "telephone_number": "859-278-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN E NEIL MD. PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "NEIL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "859-278-6345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "26109",
            "primary": true
        }
    ],
    "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 Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.