ADVANCED CLINICAL DERMATOLOGY, PSC – NPI #1558553560
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
ADVANCED CLINICAL DERMATOLOGY, PSC is an AHC clinic located in LEXINGTON, KY. NPPES has assigned the NPI number 1558553560 to ADVANCED CLINICAL DERMATOLOGY, PSC on August 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty
The NPI profile was previously updated about 9 years ago on Feb 20, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED CLINICAL DERMATOLOGY, PSC below.
NPI Profile for
ADVANCED CLINICAL DERMATOLOGY, PSC
(about 19 years ago)
SUITE C415
LEXINGTON, KY 40504-3751 Phone: (859) 288-5004 Fax: (859) 288-5007
PRESIDENT/DERMATOLOGIST
Phone: (859) 288-5004
Identifiers for ADVANCED CLINICAL DERMATOLOGY, PSC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | INDIVIDUAL NPI | KY | 1033189295 |
| OTHER | RAILROAD MEDICARE | KY | DN1298 |
| MEDICAID | KY | 7100090760 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM2500X - Clinic/Center / Medical Specialty (Primary) |
KY | 40054 |
| 363L00000X - Nurse Practitioner |
KY | 3688P |
| 363AM0700X - Physician Assistant / Medical |
KY | PA602 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.