THE WELL WAGON, LLC (NPI# 1598363509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598363509 |
Entity Type | Organization |
Organization Name | THE WELL WAGON, LLC |
Practice Address |
2124 Dogoon Dr Louisville KY 40223-1147 |
Practice Telephone | 8124302633 |
Enumeration Date | 2020-10-12 |
Last Update Date | 2020-10-12 |
Authorized Official Name | MS. KIMBERLY M SPAHN (CEO, OWNER) |
Authorized Official Telephone | 8124302633 |
Authorized Official Credential | FNP-BC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
The Well of KY, LLC | Doing Business As Name - Organization |
Street Address |
2124 DOGOON DR |
City | LOUISVILLE |
State | KY |
Zip Code | 40223-1147 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
Find all providers in zip 40223 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447883491 | Kristy Bryant | Family Medicine | 315 E Broadway Ste 103, Louisville, KY 40202-3700 | 2020-02-18 |
1649329624 | Earnest F Oblander | Family Medicine | 1204 Winding Creek Pl, Louisville, KY 40245-5232 | 2007-01-09 |
1407895972 | Richard Blair | Family Medicine | 210 E Gray St Ste 700, Louisville, KY 40202 | 2006-06-06 |
1497727523 | Peter Joseph Urda | Family Medicine | 1941 Bishop Ln, Suite 205, Louisville, KY 40218-1922 | 2006-02-02 |
1043481138 | Paranita Sherard Bratton | Family Medicine | 3015 Wilson Ave, Louisville, KY 40211-1969 | 2008-03-17 |
1831397579 | Corporate Health Care Psc | Family Medicine | 8013 New Lagrange Rd, Suite #5, Louisville, KY 40222-4700 | 2007-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396352332 | Erin Bryant Aprn Pllc | Family Medicine | 2407 Ring Rd Ste 133, Elizabethtown, KY 42701-5963 | 2020-09-24 |
1053653717 | Charles Sinclair Mooney | Family Medicine | 2700 Bryan Station Rd, Lexington, KY 40516-9002 | 2013-03-20 |
1457624777 | Sam H. Reid | Family Medicine | 353 E Lexington Ave, Danville, KY 40422-1521 | 2012-02-16 |
1023311800 | Tj Health Partners LLC | Family Medicine | 312 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2010-12-16 |
1366607582 | Harold Douglass Crall | Family Medicine | 4000 Morgan Rd, Roederer Correctional Complex, La Grange, KY 40031-0069 | 2008-07-28 |
1346440062 | Frank Lyons Do, Psc | Family Medicine | 775 E Tom T Hall Blvd, Olive Hill, KY 41164-7040 | 2007-07-20 |
1912033929 | Gregory Edward Mick | Family Medicine | 2285 Executive Dr, Suite 100, Lexington, KY 40505-4810 | 2007-02-26 |
1952499691 | James Ray Rich | Family Medicine | 5975 Taylor Mill Road, Covington, KY 41015-2397 | 2006-10-10 |
1376567875 | Lowell Grey Arnett Jr. | Family Medicine | 2978 E Mountain Pkwy, Salyersville, KY 41465-9772 | 2006-07-27 |
1437190287 | Indu Bala Malik | Family Medicine | 227 Commercial Ave, Fulton, KY 42041-1528 | 2006-06-10 |
Find all providers with the same taxonomy |
City | LOUISVILLE |
Zip Code | 40223 |
Please comment or provide details below to improve the information on THE WELL WAGON, LLC.
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.