Active NPI
Commonwealth Podiatry PLLC
- Podiatrist
- Lexington, KY
National Provider Identifier
1619985504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- COMMONWEALTH PODIATRY PLLC
- Practice address
- 3080 Harrodsburg Rd
Ste 225
Lexington, KY 40503-2774 - Phone
- (859) 296-4272
- Fax
- (859) 296-9645
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Janet Lee Haste
- Title
- Office Manager
- Phone
- (859) 236-5140
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 00228 | KY | |
| Customized Equipment (DME) | 332BC3200X | 00228 | KY |
Addresses
Primary practice location
3080 Harrodsburg Rd
Ste 225
Lexington, KY 40503-2774
Mailing address
3080 Harrodsburg Rd
Ste 225
Lexington, KY 40503-2774
Phone (859) 296-4272
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80900244 | Medicaid | KY | |
| 90009945 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
1156 Lexington Rd
#502
Georgetown, KY 40324
Phone (859) 236-5140
3050 Harrodsburg Rd
Ste 201
Lexington, KY 40503
3080 Harrodsburg Rd
Ste 225
Lexington, KY 40503
Phone (859) 296-4272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378166400000",
"number": "1619985504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3080 HARRODSBURG RD",
"address_2": "STE 225",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032774",
"telephone_number": "859-296-4272",
"fax_number": "859-296-9645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3080 HARRODSBURG RD",
"address_2": "STE 225",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032774",
"telephone_number": "859-296-4272",
"fax_number": "859-296-9645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMONWEALTH PODIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2013-09-03",
"status": "A",
"authorized_official_last_name": "HASTE",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "859-236-5140",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "00228",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "KY",
"license": "00228",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80900244",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90009945",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
- Commonwealth Orthopaedic Surgeons PSC
- Commonwealth Pain Associates PLLC
- Commonwealth Pain Associates, PLLC
- Commonwealth Pediatrics, PSC
- Commonwealth Plastic Surgery, PLLC
- Commonwealth Sleep and Rehab, PLLC
- Commonwealth Urology PSC
- Commonwealth Urology, PSC
- Commonwealth Urology, PSC
- Commonwealth Urology, PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.