Organization Active NPI

Epoch Health and Wellness LLC

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1538712344
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EPOCH HEALTH AND WELLNESS LLC
Practice address
2121 Richmond Rd Ste 201
Lexington, KY 40502-1213
Phone
(859) 309-7400
NPI assigned
Jul 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Rondal Goble, MDNPI 1952321515
Title
Owner
Phone
(859) 227-1251

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2121 Richmond Rd Ste 201
Lexington, KY 40502-1213

Mailing address

4124 Boone Creek Rd
Lexington, KY 40509-9712
Phone (859) 264-7886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191104001923 KY Part B Supplier - Clinic/Group Practice 0648502062 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY; Stanton, KY; Irvine, KY

National Provider Directory

National Provider Directory

Locations

2121 Richmond Rd
Ste 201
Lexington, KY 40502
Phone (859) 227-1251

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": "1563580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1538712344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 BOONE CREEK RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405099712",
            "telephone_number": "859-264-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 RICHMOND RD STE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021213",
            "telephone_number": "859-309-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPOCH HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-20",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "GOBLE",
        "authorized_official_first_name": "RONDAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-227-1251",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.