MEDICARE: NORTH LEXINGTON URGENT TREATMENT ASSOCIATES, PSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750481974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH LEXINGTON URGENT TREATMENT ASSOCIATES, PSC

Provider Business Mailing Address
First Line	:	1055 DOVE RUN RD
Second Line	:	SUITE 200
City	:	LEXINGTON
State	:	KY
Zip	:	40502-3536
Country	:	US
Telephone Number	:	859-269-4668
Fax Number	:	859-266-1152

Provider Business Practice Location Address
First Line	:	100 EASTSIDE DR
Second Line	:	SUITE B
City	:	GEORGETOWN
State	:	KY
Zip	:	40324-9797
Country	:	US
Telephone Number	:	502-863-6400
Fax Number	:	502-863-6559

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FADI BACHA
Credential	:	MD
Telephone Number	:	859-269-4668

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	09/11/2025

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