Provider Demographics
NPI:1255359642
Name:MAYS, J SCOTT (DPM)
Entity type:Individual
Prefix:
First Name:J
Middle Name:SCOTT
Last Name:MAYS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N EAGLE CREEK DR
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1805
Mailing Address - Country:US
Mailing Address - Phone:859-258-5900
Mailing Address - Fax:859-258-5905
Practice Address - Street 1:100 N EAGLE CREEK DR
Practice Address - Street 2:3RD FLOOR
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1827
Practice Address - Country:US
Practice Address - Phone:859-258-5900
Practice Address - Fax:859-258-5905
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY00277213E00000X, 213ES0000X, 213ES0103X
KY243959213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CB5773OtherRR MEDICARE GROUP
KY80000631Medicaid
KYASC1019OtherMEDICARE ASC GROUP
P00184663OtherRR MEDICARE PIN
KY37903705OtherMEDICAID LAB GROUP
KY36000818OtherMEDICAID ASC GROUP
KY4000501OtherMEDICARE LAB GROUP
KY37903705OtherMEDICAID LAB GROUP
U86198Medicare UPIN
KY0945202Medicare ID - Type Unspecified
KY80000631Medicaid