Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 00277 | KY |
N | 222Z00000X | Podiatrist | 00277 | KY |
N | 2081S0010X | Sports Medicine | 00277 | KY |
N | 213ES0000X | Sports Medicine | 00277 | KY |
N | 213ES0103X | Foot & Ankle Surgery | 00277 | KY |
Y | 213ES0103X | Foot & Ankle Surgery | 243959 | KY |
NPI | 1255359642 |
---|---|
Provider Name | J Scott Mays |
First Address | Lexington, KY 40509-1805 |
Second Address | Lexington, KY 40509-1827 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 12/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
36000818 | MEDICAID ASC GROUP (01) | KY |
37903705 | MEDICAID LAB GROUP (01) | KY |
4000501 | MEDICARE LAB GROUP (01) | KY |
80000631 | (05) | KY |
ASC1019 | MEDICARE ASC GROUP (01) | KY |
CB5773 | RR MEDICARE GROUP (01) | |
P00184663 | RR MEDICARE PIN (01) | |
U86198 | (02) |