Organization Active NPI

Kentucky Foot Professionals

  • Foot & Ankle Surgery Podiatrist
  • Lexington, KY
National Provider Identifier
1629215058
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
KENTUCKY FOOT PROFESSIONALS
Practice address
2130 Nicholasville Rd
Suite 1
Lexington, KY 40503-2520
Phone
(859) 278-7313
Fax
(859) 260-1007
NPI assigned
Jan 7, 2009
Last updated
Dec 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Lindsey Moshluk
Title
Office Manager
Phone
(859) 278-7313

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

2130 Nicholasville Rd
Suite 1
Lexington, KY 40503-2520

Mailing address

2130 Nicholasville Rd
Suite 1
Lexington, KY 40503-2520
Phone (859) 278-7313

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090128000000 KY Part B Supplier - Clinic/Group Practice 3577627033 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY
O20100930068510 KY DME Supplier - Physician - Podiatry 3577627033 Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

2659 Regency Rd
Lexington, KY 40503

2659 Regency Rd
Ste 110
Lexington, KY 40503
Phone (859) 278-7313

195 S Main St
Versailles, KY 40383
Phone (859) 278-7313

Practitioners & affiliated clinicians

Practitioners 3

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": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1629215058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 NICHOLASVILLE RD",
            "address_2": "SUITE 1",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032520",
            "telephone_number": "859-278-7313",
            "fax_number": "859-260-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 NICHOLASVILLE RD",
            "address_2": "SUITE 1",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032520",
            "telephone_number": "859-278-7313",
            "fax_number": "859-260-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY FOOT PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "MOSHLUK",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "859-278-7313"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "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 Dec 16, 2009; 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.