Individual
DR. JAMES STORMER PEZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1780 NICHOLASVILLE RD STE 202, LEXINGTON, KY 40503-1412
(859) 260-5051
Mailing address
1401 HARRODSBURG RD STE B355, LEXINGTON, KY 40504-3747
(859) 276-5262
(859) 277-6509
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
31658
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052183
ANTHEM BCBS
KY
01
—
100012473
RAILROAD MEDICARE
KY
01
—
1096664
WELLCARE OF KY (MEDICAID)
KY
01
—
1163061
CIGNA
KY
01
—
1196008
CHA
KY
01
—
2900003
UNITED HEALTHCARE
KY
01
—
4493038
AETNA
KY
05
—
64316581
—
KY
01
—
C23033
CUMBERLAND HEALTH
KY
Enumeration date
07/17/2006
Last updated
04/05/2021
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