CHANDLER DONOVAN WILFONG (NPI# 1194017384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194017384 |
| Entity Type | Individual |
| Full Name | CHANDLER DONOVAN WILFONG |
| Credential | M.D. |
| Practice Address |
12100 Redspire Dr Apt 204 Louisville KY 40299-6143 |
| Practice Telephone | 5024322038 |
| Mailing Telephone | 5024322038 |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 390200000X | KY | Allopathic & Osteopathic Physicians |
| Street Address |
12100 REDSPIRE DR APT 204 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40299-6143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477050144 | Jolanta Staniszewska | Social Worker | 1700 Cargo St, Louisville, KY 40299 | 2018-04-10 |
| 1780192302 | Chris Mcclain | Pharmacist | 1901 Campus Place, Suite 100, Louisville, KY 40299 | 2018-01-17 |
| 1669984209 | Bluegrass Allergy Asthma and Immunology Psc | Internal Medicine | 11900 Plantside Dr Ste 9, Louisville, KY 40299 | 2017-11-03 |
| 1588182109 | Hollie Marie Wheeler | Speech-Language Pathologist | Paragon Rehabilitation 2701 Chesnut Station Court, Louisville, KY 40299 | 2017-09-04 |
| 1790206464 | Farrah Hill Rodgers | Occupational Therapy Assistant | 2701 Chestnut Station Court., Paragon Rehabilitation, Louisville, KY 40299 | 2017-07-03 |
| 1871972620 | Jag Medical LLC | Pharmacy | 9813 Merioneth Dr, Louisville, KY 40299 | 2015-05-27 |
| 1023496205 | Scotty Ray Newcomer | Family Medicine | 8511 Watterson Trl, Louisville, KY 40299 | 2015-05-08 |
| 1386048262 | Daniel Gerhard Eschenbach | Dentist | 12613 Taylorsville Rd., Suite #17, Louisville, KY 40299 | 2014-10-21 |
| 1740616192 | Alyse C Martin | Nurse Practitioner | 9569 Taylorsville Road Suite 109, Louisville, KY 40299 | 2013-09-17 |
| 1407104128 | Tammy Rowland Reddington | Nurse Practitioner | 4004 Hurstbroune Woods Drive, Louisville, KY 40299 | 2012-08-28 |
| Find all providers in zip 40299 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1639535677 | David Geller, Md, Pllc | Surgery | 3999 Dutchmans Ln Ste 1e, Louisville, KY 40207-4741 | 2016-01-06 |
| 1689008567 | William Jewell Oliver | Surgery | 4208 Rivers Edge Ct, Louisville, KY 40222-6176 | 2013-08-27 |
| 1053686196 | Conor O'neill | Surgery | 315 E Broadway Ste 312m-10, Louisville, KY 40202-3700 | 2012-03-21 |
| 1669747853 | Kevin M Riggle | Surgery | 411 E Chestnut St Ste 5, Louisville, KY 40202-1713 | 2012-03-20 |
| 1952676512 | Thomas Curry Dedman | Surgery | 204 Travois Rd, Louisville, KY 40207-1663 | 2012-03-15 |
| 1114218963 | John Isaac Young | Surgery | 601 S Floyd St Ste 220, Louisville, KY 40202-1835 | 2011-04-28 |
| 1528384195 | Jared Michael Davis | Surgery | 1019 Rosemary Dr, Louisville, KY 40213-1119 | 2010-04-08 |
| 1215164025 | Stewart Reddin Carter | Surgery | 411 E Chestnut St Fl 5, Louisville, KY 40202-1713 | 2009-06-18 |
| 1780824383 | Robert Evans Arnold | Surgery | 7500 Springhill Farm Rd, Louisville, KY 40299-5386 | 2009-02-23 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40299 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.