LEXINGTON DIABETIC CENTER PSC
NPI 1356499602
Point of Service in Lexington, KY
NPI Status: Active since January 05, 2007
Contact Information
3292 EAGLE VIEW LN
SUITE 210
LEXINGTON, KY
ZIP 40509
Phone: (859) 977-8855
Fax: (859) 977-8856
- Organization
- Point of Service
- CLIA Number: 18D2295096
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-04-2025
About LEXINGTON DIABETIC CENTER PSC
This page provides the complete NPI Profile along with additional information for Lexington Diabetic Center Psc, a provider established in Lexington, Kentucky operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1356499602 assigned on January 2007. The practitioner's primary taxonomy code is 305S00000X with license number 39043 (KY). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michael C. Allen (Ceo)
- NPI
- 1356499602
- Provider Name
- LEXINGTON DIABETIC CENTER PSC
- Entity Type
- Organization
- Location Address
- 3292 EAGLE VIEW LN SUITE 210 LEXINGTON, KY 40509
- Location Phone
- (859) 977-8855
- Location Fax
- (859) 977-8856
- Mailing Address
- 3292 EAGLE VIEW LN SUITE 210 LEXINGTON, KY 40509
- Mailing Phone
- (859) 977-8855
- Mailing Fax
- (859) 977-8856
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2007
- Last Update Date
- 01-28-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Point of Service
- Taxonomy Code
- 305S00000X
- Type
- Managed Care Organizations
- License No.
- 39043
- License State
- KY
- Taxonomy Description
- This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | (KY) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00404838 | OTHER (01) | KY | TG LDC RAILROAD PIN |
| 1832201 | MEDICARE PIN (08) | ||
| 9491 | MEDICARE ID-TYPE UNSPECIFIED (04) | KY | MEDICARE GROUP |
| G59001 | MEDICARE UPIN (02) | ||
| P84800 | MEDICARE UPIN (02) | KY | |
| 64094485 | MEDICAID (05) | KY | |
| 65946022 | MEDICAID (05) | KY | |
| 1285781682 | OTHER (01) | KY | TOSHA NPI |
| DD2844 | OTHER (01) | KY | TG LDC RR GRP |
| 000000545010 | OTHER (01) | TG ANTHEM LDC | |
| 64313646 | MEDICAID (05) | KY |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D2295096
- Facility Type
- Physician Office
- Certificate Effective Date
- December 05, 2023
- Certificate Expiration Date
- December 04, 2025
- Laboratory Director
- DR. RYAN G. FISCHER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Lexington Diabetic Center Psc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356499602, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
LEXINGTON, KY 40509
LEXINGTON, KY 40509
LEXINGTON, KY 40509
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356499602, enumerated as an "organization" on January 05, 2007.
The provider is located at 3292 EAGLE VIEW LN SUITE 210 LEXINGTON, KY 40509 and the phone number is (859) 977-8855.
Point of Service with taxonomy code 305S00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Anthem Blue Cross. Please consult your insurance carrier or call the provider to verify.
