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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
21368 | KY | Allopathic & Osteopathic Physicians |
| 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 Name | Type Code |
|---|---|
| Rolyn PSC | Other Name - Individual/Organization |
| Street Address |
4950 NORTON HEALTHCARE BLVD SUITE 101 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-2845 |
| 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 | ||||
| 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 Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| 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. |
| 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 |
| City | LOUISVILLE |
| Zip Code | 40241 |
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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.