Kentucky Medical Center, PSC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

25368 Issued in KY

Legal business name

KENTUCKY MEDICAL CENTER, PSC

Practice address

208 Legends LN
Suite 130
Lexington, KY 40505-3285

Phone

(859) 400-0123

NPI assigned

Oct 5, 2016

Last updated

Oct 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Blaine Lisner, M.D.

Title

Owner

Phone

(859) 400-0123

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1558811323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LEGENDS LN",
            "address_2": "SUITE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405053285",
            "telephone_number": "859-400-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LEGENDS LN",
            "address_2": "SUITE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405053285",
            "telephone_number": "859-400-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY MEDICAL CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "LISNER",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-400-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "25368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentucky Internal Medicine Group
• Kentucky Kidney & Hypertension
• Kentucky Kids Therapy PLLC (Kentucky Kids Therapy)
• Kentucky Lifetime Dental, P.S.C. (Smart Dental & Hygiene Express)
• Kentucky Massage & Bodywork
• Kentucky Medical Consultants of the Bluegrass, LLC (Beachside Medical Group)
• Kentucky Medical Services
• Kentucky Medical Services Foundation
• Kentucky Medical Services Foundation (University of Kentucky Audiologist)
• Kentucky Medical Services Foundation (KMSF - Epsdt)

• Neurology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Neurology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.