Ricky D. Isernhagen in Lexington - Retina Specialist

Ricky D. Isernhagen - NPI 1700881919

Ricky D. Isernhagen is a Retina Specialist in Lexington, Kentucky. Ricky D. Isernhagen practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Ricky D. Isernhagen is 1700881919. The last update date is 2017-05-08.

Ricky D. Isernhagen's current location address is 120 N Eagle Creek Dr, Lexington, Kentucky. You can contact this provider via phone number 8592633900 and fax number 8592633757. The mailing address for Ricky D. Isernhagen is 120 N Eagle Creek Dr, Lexington, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Ricky D. Isernhagen
Address 120 N Eagle Creek Dr, Lexington, Kentucky
Phone Number 8592633900
Fax Number 8592633757
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1700881919
Provider Enumeration Date 2005-06-15
Last Updated Date 2017-05-08

Provider Mailing Address Detail

Address 120 N Eagle Creek Dr
City Lexington
State Kentucky (KY)
Post Code 4050918270
Phone Number 8592633900
Fax Number 8592633757

Provider's Primary Taxonomy Detail

Speciality Retina Specialist
Taxonomy 207Wx0107X
Licence No 25118
Definition:
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
64251184 KY --
95007000 WV --
678897 OH --

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FAQs about Ricky D. Isernhagen

What is the unique 10-digit identifier code assigned to Ricky D. Isernhagen by the Centers for Medicare & Medicaid Services?

The Ricky D. Isernhagen has been issued the NPI (National Provider Identifier) 1700881919 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Ricky D. Isernhagen's physical address?

The Ricky D. Isernhagen is physically located at 120 N Eagle Creek Dr, in the city of Lexington, KY, with the postal code 4050918270.

What is Ricky D. Isernhagen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ricky D. Isernhagen is Retina Specialist, and the taxonomy code that classifies this field of practice is 207Wx0107X.

On what date did the Centers for Medicare & Medicaid Services assign the 1700881919 to Ricky D. Isernhagen?

The Centers for Medicare & Medicaid Services assigned the 1700881919 to Ricky D. Isernhagen on 2005-06-15.

When was the information pertaining to Ricky D. Isernhagen most recently updated or revised?

The details related to Ricky D. Isernhagen, including its address, specialty, and other relevant information, were last updated or revised on 2017-05-08.

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