Phoenix Health Associates PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

KY35740 Issued in KY

Legal business name

PHOENIX HEALTH ASSOCIATES PLLC

Practice address

1021 Majestic Drive
Suite 100
Lexington, KY 40513-1492

Phone

(859) 737-0904

Fax

(859) 737-0902

NPI assigned

Jun 16, 2008

Last updated

Jun 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ramesh L Ghanta, M.D.

Title

Owner

Phone

(859) 737-0904

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1841450665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 896",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403920896",
            "telephone_number": "859-737-0904",
            "fax_number": "859-737-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MAJESTIC DRIVE",
            "address_2": "SUITE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131492",
            "telephone_number": "859-737-0904",
            "fax_number": "859-737-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTH ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "GHANTA",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-737-0904",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "KY32188",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "KY35740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65941874",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Gaddy Philpot
• Amanda Phipps
• Gabrielle Phipps
• Paul Steven Phipps, CRNA - ARNP
• Phoenix Enterprise (Phoenix Diagnostics)
• Phoenix Recovery LLC
• Lauren Marie Phoenix, CRNA
• Deoborah Photos, DPM
• Melanie Sarinthone Phounsavath, PA
• Anthea Quynh Phuong

• Community/Behavioral Health Agency in Lexington, KY
• Providers in Lexington, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.