Dora A Picon, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

26378 Issued in KY

Practice address

789 Eastern Byp
Suite 25
Richmond, KY 40475-2415

Phone

(859) 623-3560

Fax

(859) 623-3763

NPI assigned

May 18, 2006

Last updated

Aug 19, 2010By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Advanced Pain Medicine, PSC

  • Pain Medicine Physician
  • Lexington, KY
  • NPI 1245238492
  NPD (past)
• Pattie a. Clay Infirmary Association, Inc.

  dba Pattie A. Clay Family Practice

  • Family Medicine Physician
  • Richmond, KY
  • NPI 1932422599
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1861445330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 EASTERN BYP",
            "address_2": "SUITE 25",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752415",
            "telephone_number": "859-623-3560",
            "fax_number": "859-623-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 EASTERN BYP",
            "address_2": "SUITE 25",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752415",
            "telephone_number": "859-623-3560",
            "fax_number": "859-623-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICON",
        "first_name": "DORA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "26378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64263783",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madisen Emilee Petrey
• Logan Alexis Pfanstiel
• Jimmie Tantillo Phelps, PSC
• Hayden R. Phillips, DMD
• Rachel Erin Piacsek, APRN
• Brittany Lynn Pierson, APRN
• Tim William Pike, ATC
• Jennifer H Pingleton, R.D., L.D.
• Susan Pingleton
• Pinnacle Management, LLC

• Neurology Physician in Richmond, KY
• Providers in Richmond, KY by specialty
• Neurology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.