Provider Demographics
NPI:1265666218
Name:FERDA, AARON MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:MICHAEL
Last Name:FERDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 BELMERE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2248
Mailing Address - Country:US
Mailing Address - Phone:859-618-4762
Mailing Address - Fax:859-954-5160
Practice Address - Street 1:235 STOKELY RD
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-2104
Practice Address - Country:US
Practice Address - Phone:859-954-5150
Practice Address - Fax:859-954-5160
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY48494207V00000X, 2084A0401X, 2083A0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100370360Medicaid
OH0085335Medicaid
WV3810025978Medicaid
KYK119310Medicare PIN
OHH214101Medicare PIN
OH0085335Medicaid