| Family Practice Associates Of Lexington Psc | |
|
1775 Alysheba Way Ste 201 Lexington KY 40509-2279 | |
| (859) 278-5007 | |
| (859) 278-6867 |
| Full Name | Family Practice Associates Of Lexington Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 1775 Alysheba Way, Lexington, Kentucky |
| Authorized Official Name and Position | John E Reesor (CEO) |
| Authorized Official Contact | 8599772120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates Of Lexington Psc 1775 Alysheba Way Ste 201 Lexington KY 40509-2279 Ph: (859) 278-5007 | Family Practice Associates Of Lexington Psc 1775 Alysheba Way Ste 201 Lexington KY 40509-2279 Ph: (859) 278-5007 |
| NPI Number | 1053316596 |
|---|---|
| Provider Enumeration Date | 06/20/2005 |
| Last Update Date | 12/17/2014 |
| Medicare PECOS PAC ID | 0749275022 |
|---|---|
| Medicare Enrollment ID | O20040416000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053316596 | NPI | - | NPPES |
| 65915993 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Susan M Monohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700819729 PECOS PAC ID: 0547236002 Enrollment ID: I20040907000318 |
| Provider Name | Todd O Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881610392 PECOS PAC ID: 2163482175 Enrollment ID: I20041014000272 |
| Provider Name | Mary H Henkel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699770156 PECOS PAC ID: 9931280062 Enrollment ID: I20080115000573 |
| Provider Name | Aletia G Farmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730353590 PECOS PAC ID: 2860553716 Enrollment ID: I20081210000425 |
| Provider Name | John E Reesor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447255922 PECOS PAC ID: 6002944618 Enrollment ID: I20100430000734 |
| Provider Name | Joseph E Gerhardstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790780286 PECOS PAC ID: 0042348815 Enrollment ID: I20100514000748 |
| Provider Name | Keith Thomas Applegate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245235795 PECOS PAC ID: 6800926320 Enrollment ID: I20100610000216 |
| Provider Name | Kristy Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487942421 PECOS PAC ID: 6901067461 Enrollment ID: I20120411000243 |
| Provider Name | Amanda R Foxx |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639462989 PECOS PAC ID: 2062738743 Enrollment ID: I20150225000524 |
| Provider Name | Lindsey H Clickner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679021729 PECOS PAC ID: 7618255613 Enrollment ID: I20161026001029 |
| Provider Name | Shelby Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649785296 PECOS PAC ID: 5193083038 Enrollment ID: I20171221002714 |
| Provider Name | Ashley E Rollins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053700542 PECOS PAC ID: 6204142458 Enrollment ID: I20181002002260 |
| Provider Name | Rajeana M Conway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194103044 PECOS PAC ID: 1052613387 Enrollment ID: I20181002002809 |
| Provider Name | Meagan Obst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841814118 PECOS PAC ID: 1951726173 Enrollment ID: I20200805002266 |
| Provider Name | James M Rossi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659802924 PECOS PAC ID: 7719237569 Enrollment ID: I20210106002749 |
| Provider Name | Amanda Jean Shackelford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295460251 PECOS PAC ID: 4385029511 Enrollment ID: I20220923001030 |
| Provider Name | Rachel Bradley Holliday |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942831409 PECOS PAC ID: 0143671040 Enrollment ID: I20240104002693 |
| Provider Name | Aisha Jamal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043886872 PECOS PAC ID: 6901207042 Enrollment ID: I20241105003682 |
| Provider Name | Samantha Criswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417764002 PECOS PAC ID: 9638691488 Enrollment ID: I20250320003330 |
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