Organization
PHYSICIAN SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E WINDSOR MD (PRESIDENT)
(859) 252-6500
Entity
Organization
Contact information
Practice address
1721 NICHOLASVILLE RD, LEXINGTON, KY 40503-1428
(859) 252-6500
(859) 252-3073
Mailing address
1713 NICHOLASVILLE RD, LEXINGTON, KY 40503-1403
(859) 252-6500
(859) 224-0094
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
KY
2084P0800X
Psychiatry Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LX0106X
Occupational Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2472800
OHIO MEDICAID
KY
01
—
3810003494
WV MEDICAID
KY
05
—
65926552
—
KY
05
—
7100241170
—
KY
05
—
7100241280
—
KY
05
—
7100241790
—
KY
05
—
7100243230
—
KY
05
—
7100244620
—
KY
05
—
7100246380
—
KY
05
—
90102344
—
KY
01
—
CD2933
RAILROAD MCARE
KY
Enumeration date
02/10/2006
Last updated
08/12/2013
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