CENTERWELL SENIOR PRIMARY CARE KY PSC NPI 1790492783

NPI Information

  • NPI: 1790492783
  • Provider Name: CENTERWELL SENIOR PRIMARY CARE KY PSC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: CENTERWELL SENIOR PRIMARY CARE-RICHMOND ROAD
  • CLIA Number: 18D2278841
  • Address: 3101 RICHMOND RD STE 190
    LEXINGTON, KY
    ZIP 40509
  • Phone: (859) 309-7613

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NPI Details

CENTERWELL SENIOR PRIMARY CARE KY PSC is an internal medicine in Lexington, KY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CENTERWELL SENIOR PRIMARY CARE KY PSC NPI is 1790492783. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Centerwell Senior Primary Care-richmond Road.

The provider's business location address is:

3101 RICHMOND RD STE 190
LEXINGTON, KY
ZIP 40509-525
Phone: (859) 309-7613
Fax: (877) 722-0592

The provider's authorized official is Angie Martinez .
The authorized official title is Senior Credentialing Professional and has the following contact phone number (407) 447-7120.

The CLIA number assigned to this NPI record is 18D2278841 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2022 and was last updated on 8/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineYes
3208D00000XGeneral PracticeNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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