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Lec Ancillary PLLC

Organization Active NPI Certified Registered Nurse Anesthetist · Louisville, KY

NPI 1982917365 · NPPES record last updated Sep 7, 2023

Key facts

NPI
1982917365
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
Legal business name
LEC ANCILLARY PLLC
Practice address
1169 Eastern Pkwy
Suite G58
Louisville, KY 40217-1417
Phone
(502) 452-9567
Fax
(502) 473-0586
NPI assigned
Jul 14, 2010
Organization subpart
No

Authorized official

Name
Mr. Paul Brown
Title
President/Owner
Phone
(502) 452-9567

Practitioners 47

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

View all 47

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100908000467 KY Part B Supplier - Clinic/Group Practice 0345364725 Receives reassigned benefits from 37 practitioners
Practice locations: Louisiville, KY

National Provider Directory

Locations

1400 Poplar Level Rd
Ste 2
Louisville, KY 40217
Phone (502) 452-9567

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X SINGLE SPECIALTY GROUP		 367500000X Yes

Addresses

Primary practice location

1169 Eastern Pkwy
Suite G58
Louisville, KY 40217-1417

Mailing address

1A Burton Hills Blvd
Attn: L&C
Nashville, TN 37215-6103
Phone (615) 665-1283

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 7, 2023.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1982917365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "address_2": "ATTN: L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156103",
            "telephone_number": "615-665-1283",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY",
            "address_2": "SUITE G58",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171417",
            "telephone_number": "502-452-9567",
            "fax_number": "502-473-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEC ANCILLARY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "502-452-9567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

All providers in Louisville, KY · Certified Registered Nurse Anesthetist in Kentucky

Sources for this page

Verify at the official NPI Registry.