Healthcare Provider Details

I. General information

NPI: 1255359642
Provider Name (Legal Business Name): J SCOTT MAYS D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 11/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N EAGLE CREEK DR 3RD FLOOR
LEXINGTON KY
40509-1827
US

IV. Provider business mailing address

100 N EAGLE CREEK DR 3RD FLOOR
LEXINGTON KY
40509-1805
US

V. Phone/Fax

Practice location:
  • Phone: 859-258-5900
  • Fax: 859-258-5905
Mailing address:
  • Phone: 859-258-5900
  • Fax: 859-258-5905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number00277
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License Number00277
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number00277
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number243959
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: