Active NPI
Angelia H Dobrzynski, PA
- Physician Assistant
- Lexington, KY
National Provider Identifier
1801810858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA401
- Practice address
- 1775 Alysheba Way
Lexington, KY 40509-9023 - Phone
- (859) 260-4530
- Fax
- (859) 260-4530
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA401 | KY | Primary |
Addresses
Primary practice location
1775 Alysheba Way
Lexington, KY 40509-9023
Mailing address
PO Box 950248
Louisville, KY 40295-0248
Phone (502) 489-5730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95005666 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adobrzynski8614@bhkydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group, Inc. | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1073890695
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1801810858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950248",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950248",
"telephone_number": "502-489-5730",
"fax_number": "502-489-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 ALYSHEBA WAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405099023",
"telephone_number": "859-260-4530",
"fax_number": "859-260-4530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBRZYNSKI",
"first_name": "ANGELIA",
"middle_name": "H",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95005666",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adobrzynski8614@bhkydirect.com",
"affiliation": "N",
"address_1": "1051 Newtown Pike Ste 130",
"city": "Lexington",
"state": "KY",
"country_code": "US",
"postal_code": "405111347",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.