NPIMap

Organization Active NPI

Ortho Kentucky PLLC

Doing business as orthopedic consultants

  • 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
Doing business as
orthopedic consultants
Practice address
1760 Nicholasville Rd
Ste 604
Lexington, KY 40503-1471
Phone
(859) 255-9059
Fax
(859) 254-3112
NPI assigned
Sep 15, 2009
Last updated
Jul 19, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHO KENTUCKY PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

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

Specialties & licenses 2

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

Addresses

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 names 1

  • orthopedic consultants Doing business as

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

Other NPIs with the same Medicare PAC ID 1

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

  • Ortho Kentucky PLLC

    dba kentucky bone and Joint surgeons

    • Durable Medical Equipment & Medical Supplies
    • Lexington, KY
    • NPI 1649598962

    1951432665

    Same PAC ID

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Ortho Kentucky PLLC4 organizations share this tax ID, including this one
Part of
Ortho Kentucky PLLC

Other organizations with this tax ID 3

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

Locations

1760 Nicholasville Rd
Ste 604
Lexington, KY 40503
Phone (859) 255-9059

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "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": [],
    "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.