Jared K Wilson (NPI# 1902876667, PAC ID# 5496646390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1902876667 |
| PAC ID by PECOS | 5496646390 |
| Professional Enrollment ID | I20080226000200 |
| Full Name | Jared K Wilson |
| Organization Legal Name | CASEY COUNTY HOSPITAL DISTRICT |
| Address |
112 Liberty Sq Liberty KY 42539-3392 |
| Phone Number | 6067875044 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0749193423 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181309 | CASEY COUNTY HOSPITAL |
| 181330 | RUSSELL COUNTY HOSPITAL |
| 180048 | EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER |
| 180149 | TJ HEALTH COLUMBIA |
| 181315 | EPHRAIM MCDOWELL FORT LOGAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 112 Liberty Sq, Liberty, KY 42539-3392 | 6067875044 | CASEY COUNTY HOSPITAL DISTRICT |
| Organization Legal Name | CASEY COUNTY HOSPITAL DISTRICT |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luann Elmore | Nurse Practitioner | Casey County Hospital District | 112 Liberty Sq, Liberty, KY 42539-3392 |
| Karen F Likins | Nurse Practitioner | Casey County Hospital District | 187 Wolford Ave, Liberty, KY 42539-3278 |
| William M Ardrey | Emergency Medicine | Casey County Hospital District | 187 Wolford Ave, Liberty, KY 42539-3278 |
| Robert W Goodlett | Emergency Medicine | Casey County Hospital District | 187 Wolford Ave, Liberty, KY 42539-3278 |
| Shane T J Desimone | Diagnostic Radiology | Casey County Hospital District | 187 Wolford Ave, Liberty, KY 42539-3278 |
| Steadman A Mason | Emergency Medicine | Casey County Hospital District | 187 Wolford Ave, Liberty, KY 42539-3278 |
| Bentley O'dell | Nurse Practitioner | Casey County Hospital District | 187 Wolford Ave, Liberty, KY 42539-3278 |
| Britni Barnett | Nurse Practitioner | Casey County Hospital District | 187 Wolford Ave, Liberty, KY 42539-3278 |
| Siby Sebastian | Emergency Medicine | Casey County Hospital District | 187 Wolford Ave, Liberty, KY 42539-3278 |
| John R Smart Iii | Family Medicine | Casey County Hospital District | 187 Wolford Ave, Liberty, KY 42539-3278 |
| Street Address |
112 LIBERTY SQ |
| City | LIBERTY |
| State | KY |
| Zip | 42539-3392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luann Elmore | Nurse Practitioner | Casey County Hospital District | 112 Liberty Sq, Liberty, KY 42539-3392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ted K Murphy | Chiropractic | 40 Old Water Plant Rd, Liberty, KY 42539-0531 | |
| Breece W Hayes | Chiropractic | 417 Middleburg St, Liberty, KY 42539-3007 | |
| Glen Ware Jr. | Nurse Practitioner | Ephraim Mcdowell Health Resource Inc | 511 Middleburg St, Liberty, KY 42539-3009 |
| Mira Daugherty | Nurse Practitioner | Ephraim Mcdowell Health Resource Inc | 511 Middleburg St, Liberty, KY 42539-3009 |
| John Stanley Aumiller | Cardiovascular Disease (cardiology) | Ephraim Mcdowell Health Resource, Inc | 511 Middleburg St, Liberty, KY 42539-3009 |
| Kerry Darin Cundiff | Chiropractic | 256 N Wallace Wilkinson Blvd, Liberty, KY 42539-3014 | |
| Vickie L Marple | Nurse Practitioner | 108 Taylor St, Liberty, KY 42539-3160 | |
| Karen F Likins | Nurse Practitioner | Casey County Hospital District | 187 Wolford Ave, Liberty, KY 42539-3278 |
| William M Ardrey | Emergency Medicine | Casey County Hospital District | 187 Wolford Ave, Liberty, KY 42539-3278 |
| Robert W Goodlett | Emergency Medicine | Casey County Hospital District | 187 Wolford Ave, Liberty, KY 42539-3278 |
| Find all physicians in zip 42539 | |||
| City | LIBERTY |
| Zip Code | 42539 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LIBERTY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jared K Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.