Provider Demographics
NPI:1336192244
Name:CARDIOLOGY ASSOCIATES OF LEXINGTON
Entity Type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF LEXINGTON
Other - Org Name:CARDIOLOGY ASSOCIATES OF KENTUCKY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE BOARD
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-276-4429
Mailing Address - Street 1:1401 HARRODSBURG RD
Mailing Address - Street 2:SUITE A300
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3751
Mailing Address - Country:US
Mailing Address - Phone:859-276-4429
Mailing Address - Fax:
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:SUITE A300
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3751
Practice Address - Country:US
Practice Address - Phone:859-276-4429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY5274Medicare PIN
KY5737Medicare PIN
KY5276Medicare PIN
KY7896Medicare PIN
KY5739Medicare PIN
KY5277Medicare PIN
KY6823Medicare PIN
KY5738Medicare PIN
KY5731Medicare PIN
KY5732Medicare PIN