DR. JENNIFER WENTWORTH (NPI# 1033115431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033115431 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER WENTWORTH |
| Credential | M.D. |
| Practice Address |
825 2nd Ave Bowling Green KY 42101-1786 |
| Mailing Address |
201 Park St Bowling Green KY 42101-1759 |
| Practice Telephone | 2707815111 |
| Practice Fax Number | 2707800478 |
| Mailing Telephone | 2707815111 |
| Mailing Fax Number | 2707800478 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2014-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 26616 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | 110099760 | 01 |
| KY | PASSPORT | 50006902 | 01 |
| KY | 64266166 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699041871 | Jennifer Wentworth | Massage Therapist | 1611 116th Ave Ne, Suite 200, Bellevue, WA 98004-3045 | 2012-04-01 |
| 1669759155 | Jennifer Wentworth | Counselor | 5410 N 44th St, Tacoma, WA 98407-3715 | 2011-11-10 |
| 1588812218 | Jennifer Marie Wentworth | Physical Therapist | 2075 Nooseneck Hill Rd, Coventry, RI 02816-6709 | 2008-09-06 |
| Street Address |
825 2ND AVE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871952630 | Interventional Pain Specialists of Bowling Green, Plc | Psychologist | 825 2nd Ave, Suite C6, Bowling Green, KY 42101-1786 | 2016-02-22 |
| 1447623632 | Western Kentucky Medical Associates Psc | Internal Medicine | 825 2nd Ave, Suite B1, Bowling Green, KY 42101-1786 | 2015-11-10 |
| 1093182289 | Leslie Anne Allen | Pharmacist | 825 2nd Ave, Bowling Green, KY 42101-1786 | 2015-08-24 |
| 1922496090 | Emily Langlois | Registered Nurse | 825 2nd Ave, Emergency Department, Bowling Green, KY 42101-1786 | 2014-12-24 |
| 1457759540 | Commonwealth Health Corporation, Inc. | Family Medicine | 825 2nd Ave, Suite C2, Bowling Green, KY 42101 | 2014-12-05 |
| 1316360159 | Angela Gipson | Nurse Practitioner | 825 2nd Ave, Suite C6, Bowling Green, KY 42101-1786 | 2014-01-30 |
| 1508116351 | Christopher Michael Tarter | Nurse Anesthetist, Certified Registered | 825 2nd Ave, Suite C6, Bowling Green, KY 42101-1786 | 2012-09-19 |
| 1144504895 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 825 2nd Ave, Suite A4, Bowling Green, KY 42101-1786 | 2011-09-29 |
| 1538455415 | Commonwealth Health Corporation, Inc | Nurse Practitioner | 825 2nd Ave, Suite C3, Bowling Green, KY 42101-1786 | 2011-06-20 |
| 1154613768 | Abigail Debusk | Family Medicine | 825 2nd Ave, Suite C2, Bowling Green, KY 42101-1786 | 2011-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558710970 | Christopher Areephanthu | Ophthalmology | 825 2nd Ave Ste A5, Bowling Green, KY 42101-1789 | 2016-06-07 |
| 1871747949 | William E. Moore | Ophthalmology | 916 Coventry Ct, Bowling Green, KY 42103-2450 | 2008-11-15 |
| 1740460039 | Randal H Paul Psc | Ophthalmology | 1332 Andrea St, Bowling Green, KY 42104-3334 | 2007-11-05 |
| 1376613737 | Gerald Eugene Sullivan | Ophthalmology | 730 Fairview Ave, Suite B1, Bowling Green, KY 42101-2367 | 2006-11-09 |
| 1699770206 | Edmund L Wilkins | Ophthalmology | 1724 Rockingham Ave, Ste 201, Bowling Green, KY 42104-5841 | 2005-06-20 |
| 1407478035 | Commonwealth Health Corporation, Inc | Ophthalmology | 825 2nd Ave Ste A5, Bowling Green, KY 42101-1789 | 2020-05-18 |
| 1306190228 | James M Rynerson Md Psc | Ophthalmology | 1901 Scottsville Rd, Bowling Green, KY 42104-3303 | 2012-10-30 |
| 1285990671 | Johnathon Eric Downing | Ophthalmology | 1724 Rockingham Ave, 204, Bowling Green, KY 42104-5840 | 2012-04-10 |
| 1568772333 | John E Downing Psc | Ophthalmology | 1724 Rockingham Ave, Suite 204, Bowling Green, KY 42104-5840 | 2010-10-14 |
| 1588796973 | Vision Associates Inc | Ophthalmology | 970 W Wooster St, Suite 221, Bowling Green, OH 43402-2643 | 2007-03-12 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
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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.