Pedorthic Services, Llc in Lexington - Customized Equipment

Pedorthic Services, Llc - NPI 1992818009

Pedorthic Services, Llc is a Customized Equipment in Lexington, Kentucky. Pedorthic Services, Llc practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Pedorthic Services, Llc is 1992818009. The last update date is 2020-07-27.

Pedorthic Services, Llc's current location address is 371 Southland Dr, Lexington, Kentucky. You can contact this provider via phone number 8592660420 and fax number 8592660667. The mailing address for Pedorthic Services, Llc is 371 Southland Dr, Lexington, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pedorthic Services, Llc
Address 371 Southland Dr, Lexington, Kentucky
Phone Number 8592660420
Fax Number 8592660667
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Wheeler Larry
Credentials C.PED
Telephone Number 8592660420

NPI Number Detail

NPI Number 1992818009
Provider Enumeration Date 2006-08-16
Last Updated Date 2020-07-27

Provider Mailing Address Detail

Address 371 Southland Dr
City Lexington
State Kentucky (KY)
Post Code 405031824
Phone Number 8592660420
Fax Number 8592660667

Provider's Primary Taxonomy Detail

Speciality Customized Equipment
Taxonomy 332Bc3200X
Definition:
Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
519294 KY ANTHEM BC/BS
5574649 KY AETNA
7100026770 KY --
74928 KY UNITED HEALTHCARE
5939230001 KY MEDICARE DME

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FAQs about Pedorthic Services, Llc

What is the unique identification code assigned to Pedorthic Services, Llc by the Centers for Medicare & Medicaid Services?

The Pedorthic Services, Llc has been issued the NPI (National Provider Identifier) 1992818009. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Pedorthic Services, Llc?

The Pedorthic Services, Llc is physically situated at 371 Southland Dr, in the city of Lexington, state of KY, with the postal code 405031824.

What is the area of specialization for Pedorthic Services, Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Pedorthic Services, Llc is Customized Equipment, and the corresponding taxonomy code that categorizes this area of expertise is 332Bc3200X.

On what date did the Pedorthic Services, Llc receive its 1992818009 assignment from the Centers for Medicare & Medicaid Services?

The Pedorthic Services, Llc was assigned its 1992818009 by the Centers for Medicare & Medicaid Services on 2006-08-16.

As of what date were the details related to Pedorthic Services, Llc most recently updated or revised?

The information pertaining to Pedorthic Services, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-07-27.

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