Individual
RICHARD D. FLOYD IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1451 HARRODSBURG RD, SUITE D 302, LEXINGTON, KY 40504-3758
(859) 977-0898
(859) 260-1278
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26079
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
26079
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020015921
RR MEDICARE PIN
KY
01
—
36000818
ASC MEDICAID GROUP
KY
01
—
37903705
MEDICAID GROUP LAB
KY
01
—
4000501
MEDICARE LAB
KY
05
—
64260797
—
KY
01
—
ASC1019
ASC MEDICARE GROUP
KY
01
—
CB5773
RR MEDICARE GROUP
KY
Enumeration date
07/11/2006
Last updated
07/16/2019
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