PARK STREET PARTNERS, L.L.P. (NPI# 1467708180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467708180 |
| Entity Type | Organization |
| Organization Name | PARK STREET PARTNERS, L.L.P. |
| Other Organization Name | CORPCARE |
| Practice Address |
1110 Wilkinson Trce Bowling Green KY 42103-3402 |
| Practice Telephone | 2707963590 |
| Practice Fax Number | 2707451156 |
| Mailing Telephone | 2707963590 |
| Mailing Fax Number | 2707451156 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |
| Authorized Official Name | MR. RONALD G. SOWELL (EXECUTIVE VICE-PRESIDENT) |
| Authorized Official Telephone | 2707451500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
XXXXXXXXXX | KY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CorpCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053341339 | Park Street Partners, L.l.p. | Nurse Practitioner | 1225 Fairway St, Bowling Green, KY 42103-2477 | 2006-07-03 |
| Street Address |
1110 WILKINSON TRCE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074539 | Shala S Wilson | Nurse Practitioner | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2005-06-24 |
| 1619497997 | Nickolas Wayne Claise | Physical Therapist | 1110 Wilkinson Trce, Bowling Green, KY 42103 | 2017-06-27 |
| 1366810335 | Alexander Love | Physical Therapist | 1110 Wilkinson Trce, Suite 1, Bowling Green, KY 42103-3402 | 2015-09-08 |
| 1689042772 | Christopher Brice | Physical Therapist | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2015-09-08 |
| 1871899237 | Alison K. Woodcock | Occupational Therapist | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2011-02-02 |
| 1164685426 | Kurtis D. Carter | Physical Therapy Assistant | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2008-07-08 |
| 1750559191 | Emily G. Davenport | Physical Therapist | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2008-02-20 |
| 1285818476 | Angel Pierce | Occupational Therapy Assistant | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2007-12-24 |
| 1912198235 | Jessica Elaine Perkinson | Occupational Therapy Assistant | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2007-08-05 |
| 1487865044 | William Kyle Clark | Physical Therapy Assistant | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 261QC1800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Corporate Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821478975 | Commonwealth Health Corporation, Inc. | Clinic/Center | 291 New Towne Rd, Bowling Green, KY 42103-7996 | 2015-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518321504 | K Mart Pharmacy | Clinic/Center | 552 Culpepper Rd, Lexington, KY 40502-2414 | 2016-04-06 |
| 1851618607 | Industrial Wellness Services of Kentucky, Pllc | Clinic/Center | 1570 N Highway 27, Whitley City, KY 42653-4230 | 2010-05-03 |
| 1366739526 | First On Site | Clinic/Center | 275 E Main St, Frankfort, KY 40601-2321 | 2011-07-07 |
| City | BOWLING GREEN |
| Zip Code | 42103 |
Please comment or provide details below to improve the information on PARK STREET PARTNERS, L.L.P..
| 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.