# MARK A. DELOMAS, M.D., P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336204676
- **Authorized official:** MARK DELOMAS M.D. (OWNER)
- **Authorized official phone:** (859) 268-1030

## Contact information

- **Practice address:** 141 N EAGLE CREEK DR, SUITE 200, LEXINGTON, KY 40509-1832
- **Practice address phone:** (859) 543-1000
- **Practice address fax:** (859) 543-0399
- **Mailing address:** 425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
- **Mailing address phone:** (859) 268-1030
- **Mailing address fax:** (859) 269-4120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 9813 | KY | Yes |
| 363A00000X | Physician Assistant | PA736 | KY | — |
| 363L00000X | Nurse Practitioner | 3002751 | KY | — |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 08/21/2014
