NPIMap

Organization Active NPI

Ortho Kentucky PLLC

  • Orthopaedic Surgery Physician
  • Lexington, KY
National Provider Identifier
1942533575
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHO KENTUCKY PLLC
Practice address
1760 Nicholasville Rd
Ste 604
Lexington, KY 40503-1471
Phone
(859) 255-9059
Fax
(859) 254-3112
NPI assigned
Sep 15, 2009
Organization subpart
Yes
Parent organization
ORTHO KENTUCKY PLLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Dr. Lisa T Degnore
Title
Member
Phone
(859) 278-3481

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100624000441 KY Part B Supplier - Clinic/Group Practice 1951432665 Receives reassigned benefits from 14 practitioners
3 other NPIs on this enrollment
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory
Tax ID family
Kentucky Bone Joint Surgeo (4 organizations share this tax ID)
Part of
Kentucky Bone Joint Surgeo

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X

Addresses

NPPES NPI Registry

Primary practice location

1760 Nicholasville Rd
Ste 604
Lexington, KY 40503-1471

Mailing address

1780 Nicholasville Rd
Ste 501
Lexington, KY 40503-1400
Phone (859) 278-3481

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
660416OtherKYANTHEM BCBS
7100107490MedicaidKY

Other names 1

NPPES NPI Registry
  • orthopedic consultants Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2010.

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1942533575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 NICHOLASVILLE RD",
            "address_2": "STE 501",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031400",
            "telephone_number": "859-278-3481",
            "fax_number": "859-277-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD",
            "address_2": "STE 604",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031471",
            "telephone_number": "859-255-9059",
            "fax_number": "859-254-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO KENTUCKY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHO KENTUCKY PLLC",
        "enumeration_date": "2009-09-15",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "DEGNORE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "859-278-3481",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "660416",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100107490",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "orthopedic consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.