EASTERN STATE HOSPITAL – NPI #1750552857
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

EASTERN STATE HOSPITAL is a psychiatry & neurologist located in LEXINGTON, KY. NPPES has assigned the NPI number 1750552857 to EASTERN STATE HOSPITAL on March 17, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EASTERN STATE HOSPITAL” is a dba name, the actual legal business name for this organization is COMMONWEALTH OF KENTUCKY. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Oct 30, 2024. 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 EASTERN STATE HOSPITAL below.

NPI Profile for
COMMONWEALTH OF KENTUCKY

NPI Number
1750552857
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMONWEALTH OF KENTUCKY
Doing Business As (dba): EASTERN STATE HOSPITAL
Primary location
1350 BULL LEA RD
LEXINGTON, KY 40511-1247
Phone: (859) 246-8000 Fax: (859) 246-8043
Mailing address
Same as primary location
Organization Subpart
Yes - EASTERN STATE HOSPITAL is subpart of another organization.
Authorized Official
JENNIFER MOORE
ASSISTANT DIRECTOR
Phone: (502) 782-6117
Updated
Certification Date
Oct 30, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for EASTERN STATE HOSPITAL

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.

DescriptionIssuerStateIdentifier
medicaidKY7100105800
Taxonomy Code(s)

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.

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.