Provider Demographics
NPI:1447207469
Name:SLEEP DISORDERS CENTER PLLC
Entity Type:Organization
Organization Name:SLEEP DISORDERS CENTER PLLC
Other - Org Name:SLEEP DISORDERS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:T
Authorized Official - Last Name:WESTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-223-9990
Mailing Address - Street 1:3121 WALL ST
Mailing Address - Street 2:STE 200
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-9007
Mailing Address - Country:US
Mailing Address - Phone:859-223-9990
Mailing Address - Fax:859-219-9454
Practice Address - Street 1:3121 WALL ST
Practice Address - Street 2:STE 200
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-9007
Practice Address - Country:US
Practice Address - Phone:859-223-9990
Practice Address - Fax:859-219-9454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY730056261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65935835Medicaid
KYP00087444OtherRAILROAD MEDICARE
KY65935835Medicaid