TWIN LAKES MEDICAL FOUNDATION, INC. (NPI# 1861668618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861668618 |
| Entity Type | Organization |
| Organization Name | TWIN LAKES MEDICAL FOUNDATION, INC. |
| Other Organization Name | OB/GYN, WENDY N LEE, DO |
| Practice Address |
910 Wallace Ave Leitchfield KY 42754-2414 |
| Practice Telephone | 2702592700 |
| Mailing Telephone | 2702592700 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2012-06-29 |
| Authorized Official Name | DONNA M. ELMER (BUSINESS ADMINISTRATION) |
| Authorized Official Telephone | 2702591605 |
| Is Organization Subpart | Y |
| Parent Organization Name | TWIN LAKES MEDICAL FOUNDATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OB/GYN, WENDY N LEE, DO | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952616070 | Twin Lakes Medical Foundation, Inc. | Preventive Medicine | 1895 Elizabethtown Rd., Leitchfield, KY 42754-9138 | 2010-08-12 |
| 1053638288 | Twin Lakes Medical Foundation, Inc. | Internal Medicine | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2010-04-28 |
| 1295052975 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2010-04-21 |
| 1871821454 | Twin Lakes Medical Foundation, Inc. | Internal Medicine | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2009-11-19 |
| 1275762221 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 9847 Elizabethtown Rd, Big Clifty, KY 42712-5880 | 2009-07-13 |
| 1730337726 | Twin Lakes Medical Foundation, Inc. | Pediatrics | 9847 Elizabethtown Rd, Big Clifty, KY 42712-5880 | 2008-09-03 |
| 1326214172 | Twin Lakes Medical Foundation, Inc. | Hearing Instrument Specialist | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2008-05-01 |
| 1902982002 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2006-10-31 |
| 1720164825 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 301 Sunset Dr, Caneyville, KY 42721-9172 | 2006-10-31 |
| 1003820812 | Twin Lakes Medical Foundation, Inc. | Pediatrics | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2006-07-28 |
| Street Address |
910 WALLACE AVE |
| City | LEITCHFIELD |
| State | KY |
| Zip Code | 42754-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162268 | Joseph C Petrocelli | Surgery | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2005-05-27 |
| 1992306450 | Karen Michelle Manning | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2020-11-02 |
| 1104454834 | Grayson County Hospital Foundation Inc | Obstetrics & Gynecology | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2020-03-30 |
| 1649743667 | Concord Company of Tennessee Pllc | Physician Assistant | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2019-01-03 |
| 1891267290 | Kristen Russell | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754 | 2018-12-23 |
| 1265900955 | Callie J Hancock | Nurse Anesthetist, Certified Registered | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2018-11-12 |
| 1568941987 | Robert Wayne Fuller | Physical Therapist | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2018-08-07 |
| 1114442324 | Jared Crocker | Nurse Anesthetist, Certified Registered | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2017-08-08 |
| 1518332691 | Eric Powell | Physical Therapist | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2015-12-01 |
| 1427434026 | Robert Holland | Nurse Anesthetist, Certified Registered | 910 Wallace Ave, Leitchfield, KY 42754 | 2015-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816849 | April Braun | Occupational Therapy Assistant | 121 Byrtle Grove Rd, Leitchfield, KY 42754 | 2017-04-26 |
| 1124429766 | Scott Anthony Gibson | Counselor | 805 Commerce Dr, Leitchfield, KY 42754 | 2014-09-15 |
| 1013328137 | Sandra M Dennis | Counselor | 505 O Riley St, Leitchfield, KY 42754 | 2014-05-12 |
| 1699071258 | Ellen Renae Pharis | Massage Therapist | 205 Fraim St, Leitchfield, KY 42754 | 2011-01-31 |
| 1184664096 | Joseph Michael Harris Jr. | Physical Therapist | 201 South Main Street, Leitchfield, KY 42754 | 2006-06-08 |
| 1689611469 | Joseph Michael Mulligan | Nurse Anesthetist, Certified Registered | 515 Lake Front Rd., Leitchfield, KY 42754 | 2006-06-01 |
| 1407838030 | Lincoln Trail District Health Dept | Public Health or Welfare | 124 E White Oak St, Leitchfield, KY 42754 | 2005-11-18 |
| 1487646527 | Larry Brett Abney | Optometrist | 31 Bobby Bland Way, Leitchfield, KY 42754 | 2005-08-16 |
| 1336142025 | Ted B Rogers | Orthopaedic Surgery | 908 Wallace Ave, Leitchfield, KY 42754 | 2005-05-27 |
| 1912486887 | Jeanette Marie Jacobs | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754 | 2018-08-10 |
| Find all providers in zip 42754 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427249382 | Robert Edgar Rusmiselle | Obstetrics & Gynecology | 809 Sunbeam Road, Leitchfield, KY 42754-7775 | 2007-08-06 |
| 1104454834 | Grayson County Hospital Foundation Inc | Obstetrics & Gynecology | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2020-03-30 |
| 1205870862 | Twin Lakes Medical Foundation Inc | Obstetrics & Gynecology | 908 Wallace Ave, Leitchfield, KY 42754-1479 | 2006-06-15 |
| 1639116635 | Mark J Lee | Obstetrics & Gynecology | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2006-05-31 |
| 1356398663 | Twin Lakes Medical Foundation, Inc. | Obstetrics & Gynecology | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2006-05-30 |
| 1992798953 | Wendy N Lee | Obstetrics & Gynecology | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2005-08-25 |
| 1982697900 | Wendy N Lee Medical Offices Pllc | Obstetrics & Gynecology | 910 Wallace Ave, Suite 302, Leitchfield, KY 42754-2414 | 2005-08-24 |
| 1164427555 | James Samuel Buck | Obstetrics & Gynecology | 910 Wallace Ave, Leitchfield, KY 42754 | 2005-06-14 |
| 1275537029 | Gary E Yochim | Obstetrics & Gynecology | 910 Wallace Ave, Ste 301, Leitchfield, KY 42754-1418 | 2005-06-09 |
| 1578566956 | Twin Lakes Medical Foundation, Inc. | Obstetrics & Gynecology | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2005-05-31 |
| Find all providers in LEITCHFIELD | ||||
| City | LEITCHFIELD |
| Zip Code | 42754 |
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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.