DR. WILFRED AMISCUA LUMBANG (NPI# 1811969298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811969298 |
| Entity Type | Individual |
| Full Name | DR. WILFRED AMISCUA LUMBANG |
| Credential | MD |
| Practice Address |
1065 Ashley St Bowling Green KY 42103-3400 |
| Mailing Address |
201 Park St Bowling Green KY 42101-1759 |
| Practice Telephone | 2708433376 |
| Practice Fax Number | 2707800496 |
| Mailing Telephone | 2707802497 |
| Mailing Fax Number | 2707830454 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2015-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 48569 | KY | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | MD0000045837 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1065 ASHLEY ST |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225034267 | Jo Ann Jones | Dermatology | 1065 Ashley St, Suite 200, Bowling Green, KY 42103-3400 | 2005-06-23 |
| 1093187304 | Brianna Grider | Physician Assistant | 1065 Ashley St, Suite 200, Bowling Green, KY 42103-3400 | 2015-10-26 |
| 1710238266 | Kyle Allen Herald | Physician Assistant | 1065 Ashley St, Bowling Green, KY 42103-3400 | 2012-09-24 |
| 1447508809 | Clubmd, LLC | Clinic/Center | 1065 Ashley St, Suite 200, Bowling Green, KY 42103-3400 | 2012-08-16 |
| 1780946160 | James Allred | Dermatology | 1065 Ashley St, Bowling Green, KY 42103-3400 | 2012-06-12 |
| 1902972441 | Shannon Watkins | Dermatology | 1065 Ashley St, Suite 200, Bowling Green, KY 42103-3400 | 2006-11-27 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609047083 | Bowling Green Dermatology & Skin Cancer Specialists Pllc | Dermatology | 1106 Fairway Street, Bowling Green, KY 42103 | 2008-03-13 |
| 1902080559 | John David Cowan | Dermatology | 1106 Fairway St, Bowling Green, KY 42103-2418 | 2007-12-18 |
| 1225034267 | Jo Ann Jones | Dermatology | 1065 Ashley St, Suite 200, Bowling Green, KY 42103-3400 | 2005-06-23 |
| 1184062481 | Juliana Elyse Gilbert | Dermatology | 1065 Ashley St Ste 200, Bowling Green, KY 42103-3401 | 2013-06-07 |
| 1780946160 | James Allred | Dermatology | 1065 Ashley St, Bowling Green, KY 42103-3400 | 2012-06-12 |
| 1538337480 | Dillon Dermatology LLC | Dermatology | 1037 Conneaut Ave, Suite 201, Bowling Green, OH 43402-5301 | 2008-02-13 |
| 1902972441 | Shannon Watkins | Dermatology | 1065 Ashley St, Suite 200, Bowling Green, KY 42103-3400 | 2006-11-27 |
| 1013093574 | William I Dillon | Dermatology | 1037 Conneaut Ave, Suite 201, Bowling Green, OH 43402-5301 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225423742 | Virginia Nell Kartha | Dermatology | 3810 Springhurst Blvd Ste 20, Louisville, KY 40241-6162 | 2015-04-01 |
| 1053757641 | Chase Landon Wilson | Dermatology | 304 Boston Sq, Georgetown, KY 40324-9786 | 2013-05-22 |
| 1316206584 | Carol B Thompson | Dermatology | 3475 Richmond Rd Ste 200, Lexington, KY 40509-2500 | 2012-05-09 |
| 1851665038 | Shannon England | Dermatology | 13802 Lake Point Cir, #102, Louisville, KY 40223-4219 | 2012-03-06 |
| 1659640878 | George J. Gataky, P.s.c. | Dermatology | 3 Audubon Plaza Dr Ste 630, Louisville, KY 40217-1362 | 2011-12-16 |
| 1811285117 | Dermatology Associates of Pikeville, Pllc | Dermatology | 1098 S Mayo Trl Ste 211, Pikeville, KY 41501-1574 | 2011-07-20 |
| 1770806424 | Kentucky Dermatology Clinic, Pllc | Dermatology | 120 State Ave, Glasgow, KY 42141-1451 | 2010-03-09 |
| 1629243860 | J David Outland, M.d. | Dermatology | 300 S 8th St Ste 405e, Murray, KY 42071-2444 | 2008-04-29 |
| 1659542058 | Ky Dermatology & Skin Cancer | Dermatology | 1750 Highway 192 W, London, KY 40741-2639 | 2008-03-13 |
| 1578745923 | Margaret K Sparks | Dermatology | 10302 Brookridge Village Blvd, Suite 102, Louisville, KY 40291-4475 | 2007-11-28 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
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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.