Samuel J Pruden in Lexington - Otolaryngology
Samuel J Pruden - NPI 1871593996
Samuel J Pruden is a Otolaryngology in Lexington, Kentucky. Samuel J Pruden practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Samuel J Pruden is 1871593996. The last update date is 2022-12-15.
Samuel J Pruden's current location address is 989 Governors Ln Ste 220, Lexington, Kentucky. You can contact this provider via phone number 8592967546 and fax number 8597210829. The mailing address for Samuel J Pruden is 989 Governors Ln Ste 220, Lexington, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel J Pruden |
|---|---|
| Address | 989 Governors Ln Ste 220, Lexington, Kentucky |
| Phone Number | 8592967546 |
| Fax Number | 8597210829 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871593996 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2022-12-15 |
Provider Mailing Address Detail
| Address | 989 Governors Ln Ste 220 |
|---|---|
| City | Lexington |
| State | Kentucky (KY) |
| Post Code | 405131175 |
| Phone Number | 8592967546 |
| Fax Number | 8597210829 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 34192 |
|
Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 823142 | KY | ANTHEM BCBS | |
| 64051196 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Samuel J Pruden by the Centers for Medicare & Medicaid Services?
The Samuel J Pruden has been issued the NPI (National Provider Identifier) 1871593996 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Samuel J Pruden is located?
The Samuel J Pruden is situated at the following address: 989 Governors Ln Ste 220, Lexington, KY, 405131175.
What is the Samuel J Pruden's area of specialization and corresponding taxonomy classification?
The Samuel J Pruden's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871593996 to Samuel J Pruden?
The Centers for Medicare & Medicaid Services originally issued the 1871593996 to Samuel J Pruden on 2005-07-29.
When was the information pertaining to Samuel J Pruden most recently updated or revised?
The details related to Samuel J Pruden, including its address, specialty, and other relevant information, were last updated or revised on 2022-12-15.