Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel J Pruden II, MD

Individual provider Dermatopathology Physician · NPI 1871593996

Samuel J Pruden II, MD is a Dermatology in Lexington, Kentucky. Graduated from University of Louisville School of Medicine in 1997, 29 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
29
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

989 Governors Ln Ste 260
Lexington, KY 40513-1175
Phone: (859) 296-7546
Fax: (859) 721-0829
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 448 Lewis Hargett Cir, Lexington, KY 40503-3594 — (859) 226-0206

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 34192 (KY)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 34192 (KY)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 34192 (KY)
Plastic Surgery Physician Taxonomy 208200000X · Licence 34192 (KY)

Record details

NPI number1871593996
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2005
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesPATHOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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