NPIMap

Organization Active NPI

Lexington Foot and Ankle Center PSC

  • Foot & Ankle Surgery Podiatrist
  • Lexington, KY
National Provider Identifier
1609939032
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
213ES0103X Issued in KY
Legal business name
LEXINGTON FOOT AND ANKLE CENTER PSC
Practice address
1401 Harrodsburg Rd
C115
Lexington, KY 40504-3751
Phone
(859) 278-8855
Fax
(859) 278-8856
NPI assigned
Dec 18, 2006
Last updated
Jan 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Michael C Allen, DPMNPI 1487681565
Title
Ceo
Phone
(859) 278-8855

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
Foot & Ankle Surgery Podiatrist 213ES0103X 213ES0103X KY Primary

Addresses

Primary practice location

1401 Harrodsburg Rd
C115
Lexington, KY 40504-3751

Mailing address

1401 Harrodsburg Rd
C115
Lexington, KY 40504-3751
Phone (859) 278-8855

Other identifiers 14

IdentifierTypeStateIssuer
7173811OtherKYAETNA DR. FINE
5710659OtherKYFIRST HEALTH DR. FINE
90003138MedicaidKY
2700180OtherKYUHC DR. HARROD
80900061MedicaidKY
000000188181OtherKYANTHEM DR. ALLEN
000000491228OtherKYANTHEM DR. FINE
1150286OtherKYPASSPORT DR. ALLEN
7100003410MedicaidKY
CH6950OtherKYRRMC GROUP
0000001164048OtherKYCHA DR. ALLEN
480033145OtherKYRRMC DR. ALLEN
80000417MedicaidKY
80002363MedicaidKY

Other names 1

  • Michael C Allen PSC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040305000854 KY Part B Supplier - Clinic/Group Practice 1759279359 Receives reassigned benefits from 5 practitioners
4 other NPIs on this enrollment
Practice locations: Frankfort, KY; Georgetown, KY; Lexington, KY
O20100930050254 KY DME Supplier - Physician - Podiatry 1759279359 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lexington, KY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

103 Diagnostic Dr
Frankfort, KY 40601
Phone (859) 977-1023

Interoperability endpoints

  • Direct secure messaging: alankidon@lfapsc.allscriptsdirect.net
  • Direct secure messaging: bradfordfine@lfapsc.allscriptsdirect.net
  • Direct secure messaging: bryanharmon@lfapsc.allscriptsdirect.net
  • Direct secure messaging: michaelallen@lfapsc.allscriptsdirect.net
  • Direct secure messaging: victoriasain@lfapsc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1609939032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "C115",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-278-8855",
            "fax_number": "859-278-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "C115",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-278-8855",
            "fax_number": "859-278-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON FOOT AND ANKLE CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-278-8855",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "213ES0103X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA DR. FINE",
            "identifier": "7173811",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH DR. FINE",
            "identifier": "5710659",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003138",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC DR. HARROD",
            "identifier": "2700180",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80900061",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM DR. ALLEN",
            "identifier": "000000188181",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM DR. FINE",
            "identifier": "000000491228",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT DR. ALLEN",
            "identifier": "1150286",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100003410",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC GROUP",
            "identifier": "CH6950",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA DR. ALLEN",
            "identifier": "0000001164048",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC DR. ALLEN",
            "identifier": "480033145",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80000417",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002363",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael C Allen PSC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 28, 2011; 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.