Lia Back, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA435 Issued in KY

Practice address

1221 S Broadway
Lexington, KY 40504-2701

Phone

(859) 258-4000

Fax

(859) 258-6203

NPI assigned

Jul 28, 2006

Last updated

May 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph London Hospital, London, KY, CCN 180011

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCJFBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385
  Medicare reassignment Care Compare group NPD
• New Lexington Clinic, PSC

  dba Lexington Clinic

  • Multi-Specialty Clinic/Center
  • Lexington, KY
  • NPI 1700803681
  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment
• Indiana Emergency Professionals PC

  • Emergency Medicine Physician
  • Lawrenceburg, IN
  • NPI 1598068017
  Medicare reassignment
• Norton - Kings Daughters Health Inc

  dba Norton King's Daughters' Health

  • Family Medicine Physician
  • Madison, IN
  • NPI 1114955093
  Medicare reassignment
• Primary Care Centers of Eastern Kentucky, LLC

  dba Primary Care Centers of Eastern Kentucky-Vicco

  • Rural Health Clinic/Center
  • Scuddy, KY
  • NPI 1184676314
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  dba Primary Care Centers of Eastern KY-Hindman

  • Rural Health Clinic/Center
  • Hindman, KY
  • NPI 1356395198
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Whitesburg, KY
  • NPI 1366227555
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  dba Primary Care Centers of Eastern Kentucky-Hazard

  • Rural Health Clinic/Center
  • Hazard, KY
  • NPI 1942275805
  NPD
• Norton - Kings Daughters Health Inc

  dba Kings Daughters Health

  • Clinical Medical Laboratory
  • Madison, IN
  • NPI 1497024426
  NPD
• Tristate Pathology and Forensic Services LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Lawrenceburg, IN
  • NPI 1649720244
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Health System, Inc

  dba CHI Saint Joseph London

  • Rural Acute Care Hospital
  • London, KY
  • NPI 1992701429
  Care Compare affiliation

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1669486197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-4000",
            "fax_number": "859-258-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Citizens Ln",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417011320",
            "country_code": "US",
            "telephone_number": "606-439-1300",
            "fax_number": "606-436-5282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACK",
        "first_name": "LIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Bachert, MD
• Harrison Bachmeier, PHARM.D.
• Paul Bachner, MD
• Back Talk Chiropractic PSC
• Brittany Bianca Back, DPT
• Treven Back, APRN, PMHNP-BC
• W Douglas Back, MD
• Carl Lewis Backer, M.D.
• Mircea Backhurst
• James David Bacon, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.