Organization Active NPI

Commonwealth Podiatry PLLC

  • Podiatrist
  • Lexington, KY
National Provider Identifier
1619985504
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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

Updated by the provider on Sep 3, 2013

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)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
80900244MedicaidKY
90009945MedicaidKY

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.