Active NPI
Mary Evelyn O'Daniel-Pierce, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 28113
- Practice address
- 1221 S Broadway
Lexington, KY 40504-2701 - Phone
- (859) 258-4000
- Fax
- (859) 258-4796
- NPI assigned
- Jul 19, 2005
- Last updated
- Feb 21, 2019
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 28113 | KY | Primary |
Addresses
Primary practice location
1221 S Broadway
Lexington, KY 40504-2701
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
Other practice location 1
800 Rose St # MS 119
Lexington, KY 40536-2701
Phone (859) 257-1446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64281132 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Kentucky College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28113 | KY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic PSC | Current | Accepting new patients | |
| St Claire Medical Center, Inc | Current | Accepting new patients | |
| New Lexington Clinic, PSC | Current | Accepting new patients | |
| University of Kentucky | Current | Accepting new patients | |
| St Claire Medical Center, Inc., | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
290 Big Run Rd
Lexington, KY 40503
Phone (859) 685-0600
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
800 Rose St
#119
Lexington, KY 40536
Phone (859) 257-1446
222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455
Interoperability endpoints
- modanielpierce56357@ukhcdirect.org
Organizations & group practices 5
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.
-
dba Lexington Clinic
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
-
dba St Claire Regional Medical Center
- General Acute Care Hospital
- Morehead, KY
- NPI 1821168535
Anatomic Pathology & Clinical Pathology
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
-
dba St Claire Healthcare Urgent Care
- Rural Health Clinic/Center
- Morehead, KY
- NPI 1477236487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1861491177",
"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": "859-258-4000",
"fax_number": "859-258-4796"
},
{
"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": "859-258-4796"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St # MS 119",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405362701",
"country_code": "US",
"telephone_number": "859-257-1446",
"fax_number": "859-257-7572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'DANIEL-PIERCE",
"first_name": "MARY",
"middle_name": "EVELYN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KY",
"license": "28113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64281132",
"state": "KY"
}
],
"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 Feb 21, 2019; 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.