CHS TENNESSEE MEDICAL P C (NPI# 1538595475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538595475 |
| Entity Type | Organization |
| Organization Name | CHS TENNESSEE MEDICAL P C |
| Other Organization Name | PARK WELL CARE CENTER |
| Practice Address |
4000 Buechel Bank Rd Appliance Park Ap4-100 Medical Louisville KY 40225-0001 |
| Mailing Address |
5500 Maryland Way Ste 400 Brentwood TN 37027-7048 |
| Practice Telephone | 5024520777 |
| Practice Fax Number | 5024520708 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2019-02-14 |
| Authorized Official Name | DR. PETER VASQUEZ (PRESIDENT) |
| Authorized Official Telephone | 6154686248 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Park Well Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669010112 | Chs Tennessee Medical P C | Clinic/Center | 1070 Smith Grove Rd, Scottsville, KY 42164-9444 | 2019-12-16 |
| 1518515733 | Chs Tennessee Medical P C | Clinic/Center | 800 Howard Baker Ave # Jr, Knoxville, TN 37915-2509 | 2019-08-30 |
| 1457833378 | Chs Tennessee Medical P C | Clinic/Center | 2200 Nw Brickyard Rd, Topeka, KS 66618-2814 | 2018-09-06 |
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1861981797 | Chs Tennessee Medical P C | Clinic/Center | 2782 York Rd, Pleasant View, TN 37146-9070 | 2018-05-07 |
| 1548757933 | Chs Tennessee Medical P C | Clinic/Center | 1 Nissan Way, Franklin, TN 37067-6367 | 2018-04-20 |
| 1689161077 | Chs Tennessee Medical P C | Clinic/Center | 701 Brooks Ave S, Thief River Falls, MN 56701-2757 | 2018-04-20 |
| 1073901344 | Chs Tennessee Medical P C | Clinic/Center | 1810 Robert C Jackson Dr, Maryville, TN 37801-3788 | 2015-01-08 |
| 1346426947 | Chs Tennessee Medical P C | Clinic/Center | 1200 Fleetguard Rd, Cookeville, TN 38506-6258 | 2008-01-14 |
| 1336740414 | Chs Tennessee Medical P C | Clinic/Center | 2400 Denso Dr, Athens, TN 37303-7835 | 2020-11-04 |
| Street Address |
4000 BUECHEL BANK RD APPLIANCE PARK AP4-100 MEDICAL |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40225-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265630958 | Theodore Ben Swirat | Internal Medicine | 4000 Buechel Bank Rd, Ap3-170 Appliance Park, Louisville, KY 40225-0001 | 2007-07-05 |
| 1841734597 | Cody Sage | Contractor | 4000 Buechel Bank Rd, Louisville, KY 40225-0001 | 2016-12-15 |
| 1508132614 | Healthstat Inc. | Preventive Medicine | 4000 Buechel Bank Rd, Louisville, KY 40225-0001 | 2012-03-23 |
| 1336477140 | Azra Alomerovic | Nurse Practitioner | 4000 Buechel Bank Rd, Ge Appliance Park: Ap4-100 Medical, Louisville, KY 40225-0001 | 2009-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083625289 | Kristy Danielle Henderson | Specialist/Technologist | 3-g25 General Electric Work-fit Ctr, Louisville, KY 40225-0001 | 2006-08-11 |
| 1922065929 | Donald Morris Condor Jr. | Physical Therapist | General Electric Appliance Park, Work-fit Center Ap 3, Louisville, KY 40225-0001 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528882 | Debora Rush | Technician | 1014 Ardmore Dr, Louisville, KY 40217-2304 | 2020-11-07 |
| 1841891645 | K Tierney Lanham LLC | Nurse Practitioner | 6431 Regency Ln, Louisville, KY 40207-2309 | 2020-11-06 |
| 1578164315 | Patricia Roberts | Pharmacist | 6903 Day Break Ct, Louisville, KY 40272-3896 | 2020-11-06 |
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1558962415 | Regenerative Medicine of Kentucky | Clinic/Center | 10900 Electron Dr Ste 101, Louisville, KY 40299-3824 | 2020-11-05 |
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1326649542 | Vivaria Counseling, Plc | Community/Behavioral Health | 3602 Kahlert Ave, Louisville, KY 40215-1815 | 2020-11-04 |
| 1235730532 | Reflection In Practice Counseling and Consultation | Clinic/Center | 1355 Bardstown Rd, Louisville, KY 40204-1353 | 2020-11-03 |
| 1942801451 | Associates In Pediatric Therapy LLC | Physical Therapist | 4100 Springdale Rd, Louisville, KY 40241-1165 | 2020-11-03 |
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| Find all providers in LOUISVILLE | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1235644287 | First Care Chiropractic Center Psc | Clinic/Center | 5057 Poplar Level Rd Ste 7, Louisville, KY 40219-1129 | 2017-12-12 |
| 1467993709 | Ky Pt Pllc | Clinic/Center | 5520 Fern Valley Rd Ste 108, Louisville, KY 40228-1088 | 2017-03-20 |
| 1366996449 | Ecare, P.s.c. | Clinic/Center | 9201 Linn Station Rd, Louisville, KY 40222-5726 | 2016-08-06 |
| 1386019495 | Advanced Diagnostic Fna Biopsy Clinic, LLC | Clinic/Center | 400 S. Mccaslin Blvd., Suite 213, Louisville, CO 80027 | 2015-12-01 |
| 1265606222 | Kort-kentucky Orthopedic Rehab Team | Clinic/Center | 3901 Dutchmans Ln Ste 104, Louisville, KY 40207-4726 | 2008-04-21 |
| 1144405770 | C. Douglas Hensley | Clinic/Center | 305b Middletown Park Pl, Louisville, KY 40243-2514 | 2008-01-02 |
| 1881896710 | Hafendorfer, Pllc | Clinic/Center | 10629 Henning Way, 6, Louisville, KY 40241-2085 | 2007-06-04 |
| 1922124148 | Evans Chiropractic Psc | Clinic/Center | 3071 Breckenridge Ln, Louisville, KY 40220-2101 | 2007-03-21 |
| 1063561702 | Kentucky Easter Seal Society Inc | Clinic/Center | 9810 Bluegrass Parkway, Louisville, KY 40299 | 2007-01-10 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40225 |
Please comment or provide details below to improve the information on CHS TENNESSEE MEDICAL P C.
| 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.