DR. CHELSEA CERNOSEK WALLACE (NPI# 1306229620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306229620 |
| Entity Type | Individual |
| Full Name | DR. CHELSEA CERNOSEK WALLACE |
| Credential | M.D. |
| Practice Address |
800 Rose St Lexington KY 40536-0293 |
| Mailing Address |
740 S Limestone Ky Clinic, Ste E101 Lexington KY 40536-0293 |
| Practice Telephone | 8592578344 |
| Practice Fax Number | 8593232441 |
| Mailing Telephone | 8592575270 |
| Mailing Fax Number | 8592579501 |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2016-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
R3883 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144718503 | Chelsea Wallace | Nurse Practitioner | 2021 Forest Cir, Orlando, FL 32803-6296 | 2018-05-01 |
| 1003414228 | Chelsea Rose Wallace | Nurse Practitioner | 9976 W Emerald St, Boise, ID 83704-9769 | 2020-10-09 |
| 1093179731 | Chelsea Wallace | Counselor | 189 S State St, Suite 222, Clearfield, UT 84015-1061 | 2016-04-08 |
| 1972901635 | Chelsea Renee Henderson Wallace | Registered Nurse | 403 E 15th St, Austin, TX 78701-1437 | 2014-12-11 |
| Street Address |
800 ROSE ST |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536-0293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560322 | Reinhold Munker | Internal Medicine | 800 Rose St, Lexington, KY 40536-4228 | 2005-07-07 |
| 1265032825 | Morgan Rose Grantham | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-31 |
| 1205436342 | Corrie Lyn Baumer | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-28 |
| 1053919779 | Timothy Burton | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-14 |
| 1588262307 | Adam Sieg | Pharmacist | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-14 |
| 1255939351 | Brittany Monroe | Registered Nurse | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-12 |
| 1477150365 | Pearl Elizabeth Peterson | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-05 |
| 1093322745 | Katie Lynn Rust | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| 1558978221 | Michele Lee Bodine | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| 1184231839 | Jennifer Gene Bauman | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518427335 | Susan Tucker Kornegay | Surgery | 740 S Limestone E101, Lexington, KY 40536-0001 | 2019-03-20 |
| 1881126563 | Christopher Robert Howell | Surgery | University of Kentucky Chandler Hospital 800 Rose St, Lexington, KY 40536-0001 | 2017-03-31 |
| 1306813852 | Lesley Wong | Surgery | 740 S Limestone Ky Clinic K454, University of Kentucky - Division of Plastic Surgery, Lexington, KY 40536-0284 | 2006-03-03 |
| 1396204194 | Margaret English Wetzel | Surgery | 800 Rose St, Lexington, KY 40536-0293 | 2019-03-19 |
| 1235634064 | Emily Diane Hogancamp | Surgery | 800 Rose St, Lexington, KY 40536-0293 | 2018-03-26 |
| 1033572730 | Paul Sauer Jr. | Surgery | 800 Rose St, Lexington, KY 40536-0001 | 2016-03-30 |
| 1568845337 | Robert Edmunds | Surgery | 800 Rose St, Lexington, KY 40536-0001 | 2015-06-29 |
| 1922413889 | Jack Charles Burns II | Surgery | University of Kentucky, 800 Rose Street, Lexington, KY 40536-0001 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255837696 | Edgar A. Lopez-suescum | Surgery | 726 Zorn Ave Apt 1, Louisville, KY 40206-1447 | 2018-04-04 |
| 1346488335 | Bernard Salameh | Surgery | 996 Wilkinson Trce Ste C1, Bowling Green, KY 42103-3410 | 2009-01-28 |
| 1346402948 | Scott Joseph Rapp | Surgery | 222 S 1st St Ste 100, Louisville, KY 40202-1350 | 2008-06-26 |
| 1437260585 | Joseph J Zaydon Jr Md | Surgery | 720 2nd Street, Ste 302, Bowling Green, KY 42101 | 2006-08-31 |
| 1053339473 | Brian P Thornton | Surgery | 315 E Broadway Ste 300, Louisville, KY 40202-3700 | 2006-07-17 |
| 1235188863 | Ramsey Kevin Majzoub | Surgery | 6440 Dutchmans Pkwy, Suite 210, Louisville, KY 40205-3338 | 2006-05-10 |
| 1407844566 | Mary Lyn T Lu | Surgery | 126 Trivette Dr, Suite 201, Pikeville, KY 41501-1275 | 2005-10-12 |
| 1063408771 | Fouad Victor Atalla | Surgery | 1048 Ashley St Ste 303, Bowling Green, KY 42103-2451 | 2005-09-27 |
| 1235124637 | Henry Garth Smith | Surgery | 1900 N Main St, Madisonville, KY 42431-9443 | 2005-09-13 |
| 1053313221 | Vera C Van Aalst-barker | Surgery | 901 Dupont Rd, Ste 202, Louisville, KY 40207-4644 | 2005-06-01 |
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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.