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Samuel J Pruden II, MD

MOHS-Micrographic Surgery Physician in Lexington, KY · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1871593996

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Registry record

Entity type Individual (Type 1)
Name Samuel J Pruden II
Credential MD
Sex Male
Practice address 989 Governors Ln Ste 260, Lexington, KY, 40513
Fax (859) 721-0829
Enumeration date Jul 29, 2005
Last updated in NPPES Dec 15, 2022

Taxonomy & licenses

207ND0900X Dermatopathology Physician Allopathic & Osteopathic Physicians · License 34192 (KY) Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians · License 34192 (KY) Secondary
208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians · License 34192 (KY) Secondary
207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License 34192 (KY) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
000000823142 Other KY ANTHEM BCBS
64051196 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Samuel Pruden?
The National Provider Identifier (NPI) for Samuel Pruden is 1871593996, a Type 1 (individual) record in the CMS NPPES registry.
Where does Samuel Pruden practice?
The practice location on file with NPPES is in Lexington, KY. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-15.