Active NPI
Janice Louise Estus, MD
- Internal Medicine Physician
- Lexington, KY
National Provider Identifier
1952389777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 30920
- Practice address
- 1055 Dave Run Rd
Lexington, KY 40502 - Phone
- (859) 269-4668
- Fax
- (859) 266-5577
- NPI assigned
- Jan 3, 2006
- Last updated
- Jan 5, 2011
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 30920 | KY | Primary |
Addresses
Primary practice location
1055 Dave Run Rd
Lexington, KY 40502
Mailing address
1055 Dave Run Rd
Ste 200
Lexington, KY 40502
Phone (859) 269-4668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64002447 | Medicaid | KY |
Other names 1
- Janice Louise Mallinak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30920 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Lexington Urgent Treatment Associates, PSC | Past | Accepting new patients | |
| North Lexington Urgent Treatment Associates PSC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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 Urgent Treatment Clinics UTC
- Internal Medicine Physician
- Lexington, KY
- NPI 1396724092
-
- Family Medicine Physician
- Lexington, KY
- NPI 1174607741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1952389777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 DAVE RUN RD",
"address_2": "STE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40502",
"telephone_number": "859-269-4668",
"fax_number": "859-266-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 DAVE RUN RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40502",
"telephone_number": "859-269-4668",
"fax_number": "859-266-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTUS",
"first_name": "JANICE",
"middle_name": "LOUISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "30920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64002447",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANICE",
"last_name": "MALLINAK",
"middle_name": "LOUISE",
"code": "1",
"type": "Former Name"
}
]
}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 Jan 5, 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.