Maison Austin, DO
Individual provider Active NPI Emergency Medicine Physician · Lexington, KY
NPI 1992321152 · NPPES record last updated Oct 23, 2023
Key facts
- NPI
- 1992321152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 05446 (KY)
- Practice address
- 1221 S Broadway
Lexington, KY 40504-2701 - Phone
- (859) 258-4000
- NPI assigned
- Jun 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Lexington Clinic PSC
Practice addresses (Care Compare)
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
Hospital & facility affiliations
- Saint Joseph Hospital
- Saint Joseph London
- Saint Joseph Mount Sterling
- CHI Saint Joseph Berea NF
- Saint Joseph East
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230615001370 | KY | Practitioner - Emergency Medicine | 7315360096 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05446 | KY | MD | Emergency Medicine Physician |
| OT020407 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic PSC | Current |
Accepting new patients | |
| New Lexington Clinic, PSC | Current |
Accepting new patients | |
| Saint Joseph Health System, Inc | Past | Accepting new patients | |
| Saint Joseph Health System, Inc | Past | Accepting new patients |
Locations
1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OT020407 | PA | |
| Emergency Medicine Physician | 207P00000X | 05446 | KY | Yes |
Addresses
Primary practice location
1221 S Broadway
Lexington, KY 40504-2701
Mailing address
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-3745
Other practice location 1
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-3745
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100933690 | Medicaid | KY |
Other providers in Lexington, KY
- Zabu Myint Aung
- Jimmy Ausbrooks
- Sherri Coleman Ausbun
- Destinee Ellen Austin
- Jaclyn Sue Austin
- Richard K. Austin
- Zackary Monroe Austin
- Autism and Behavior Concepts LLC
- Elizabeth Brown Autry
- Joseph Benjamin Autry
All providers in Lexington, KY · Emergency Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.