EAST TENNESSEE WOUND CARE PC


Address: 4950 Norton Healthcare Blvd, Suite 101, Louisville, KY 40241-2845
Phone: 5024466160

EAST TENNESSEE WOUND CARE PC (NPI# 1568503993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568503993
Entity Type Organization
Organization Name EAST TENNESSEE WOUND CARE PC
Other Organization Name ROLYN PSC
Practice Address 4950 Norton Healthcare Blvd
Suite 101
Louisville
KY 40241-2845
Mailing Address Po Box 8180
Louisville
KY 40257-8180
Practice Telephone 5024466160
Mailing Telephone 5027530680
Mailing Fax Number 5027530687
Enumeration Date 2007-02-09
Last Update Date 2013-06-20
Authorized Official Name DR. CARY THOMAS KIRK (SOLE OWNER)
Authorized Official Telephone 5029309861
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0011X Preventive Medicine
Specialization: Undersea and Hyperbaric Medicine
21368 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY ANTHEM BLUE CROSS BLUE SHIELD 000000487847 01
KY RAILROAD MEDICARE DF7517 01
KY PASSPORT ADVANTAGE 2789407000 01
KY PASSPORT HEALTH PLANS 50012967 01
IN 200828020A 05

Other Provider/Organization Names

Other Name Type Code
Rolyn PSC Other Name - Individual/Organization

Office Location

Street Address 4950 NORTON HEALTHCARE BLVD
SUITE 101
City LOUISVILLE
State KY
Zip Code 40241-2845

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912903469 Joseph J Creely IIi Otolaryngology 4950 Norton Healthcare Blvd, Suite 209, Louisville, KY 40241-2831 2005-06-21
1205347952 Chelsey Sparks Nurse Practitioner 4950 Norton Healthcare Blvd, 205, Louisville, KY 40241 2017-10-21
1881137131 Maureen Kathleen Murray Nurse Practitioner 4950 Norton Healthcare Blvd, Suite 305, Louisville, KY 40241-2845 2016-11-18
1548718745 Andrew Sorah Physician Assistant 4950 Norton Healthcare Blvd, Suite 205, Louisville, KY 40241-2845 2016-09-15
1427505122 Christina Sevilla Nurse Practitioner 4950 Norton Healthcare Blvd, Suite 305, Louisville, KY 40241-2845 2016-09-09
1962959270 Chase Parker Almgren Physical Therapist 4950 Norton Healthcare Blvd, Louisville, KY 40241-2845 2016-09-02
1336512680 Sondra Kathleen Adkins Clinic/Center 4950 Norton Healthcare Blvd, Ste 305, Louisville, KY 40241-2845 2015-11-09
1649684812 Amy Lynn Crush Nurse Practitioner 4950 Norton Healthcare Blvd, Ste. 205, Louisville, KY 40241-2845 2014-06-16
1467891804 Rebecca A Parrish Nurse Practitioner 4950 Norton Healthcare Blvd, Suite 208, Louisville, KY 40241-2845 2013-06-19
1922347251 Emily M. Houston Physician Assistant 4950 Norton Healthcare Blvd, Suite 205, Louisville, KY 40241-2845 2013-02-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164033353 Tyler Roberts Physician Assistant Private, Louisville, KY 40241 2020-08-12
1639636988 Paladina Health, LLC Family Medicine Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 2019-02-22
1164990396 Tiffany Elizabeth Gallucci Nurse Practitioner 4915 Norton Healthcare Boulevard, Louisville, KS 40241 2018-11-06
1952876146 Ashley Lynne Johnson Belcher Psychologist 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 2018-10-04
1265935977 Family Podiatry Center Pllc Podiatrist 9850 Von Allmen Ct, Louisville, KY 40241 2018-03-09
1346767472 Bridgett Lin Youngblood Case Manager/Care Coordinator 4313 Brownsboro Glen Rd, Louisville, KY 40241 2017-08-29
1518375690 Amir Shahla Dentist 10500 Fischer Park Dr, Louisville, KY 40241 2014-08-01
1255741781 Alicia M Durham Marriage & Family Therapist 3900 Riveroaks Ln, Louisville, KY 40241 2014-05-06
1962826719 Applied Behavioral Consulting, LLC Community/Behavioral Health 4517 Shenandoah Drive, Louisville, KY 40241 2014-02-14
1336579176 Nicholas Weickel Physical Therapist 9880 Angie's Way, Suite 100, Louisville, KY 40241 2013-11-14
Find all providers in zip 40241

Taxonomy Information

Taxonomy Code 2083P0011X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Undersea and Hyperbaric Medicine

Taxonomy Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659602241 Milum Wound Care, Psc. Preventive Medicine 1 Audubon Plaza Dr, L1 Suite A481, Louisville, KY 40217-1318 2010-01-20
1912936212 Cary Thomas Kirk Preventive Medicine 4950 Norton Healthcare Blvd, Suite 101, Louisville, KY 40241-2845 2006-07-01

Competitor

Search similar providers

City LOUISVILLE
Zip Code 40241

Improve Information

Please comment or provide details below to improve the information on EAST TENNESSEE WOUND CARE PC.

Dataset Information

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.

Trending Searches