LIBERTY WELLCARE, PLLC


Address: 216 Bluffwood Dr, Danville, KY 40422-9788
Phone: 8592387756

LIBERTY WELLCARE, PLLC (NPI# 1134563125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134563125
Entity Type Organization
Organization Name LIBERTY WELLCARE, PLLC
Practice Address 216 Bluffwood Dr
Danville
KY 40422-9788
Practice Telephone 8592387756
Practice Fax Number 2703785786
Mailing Telephone 8592387756
Mailing Fax Number 2703785786
Enumeration Date 2013-04-22
Last Update Date 2013-04-22
Authorized Official Name DR. IMAD A HADDAD (CEO)
Authorized Official Telephone 8592387756
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 37821 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 64065865 05

Office Location

Street Address 216 BLUFFWOOD DR
City DANVILLE
State KY
Zip Code 40422-9788

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568098754 Healthstat Onsite Clinic Centre College Preventive Medicine 851 West Walnut St, Danville, KY 40422 2020-03-19
1134772288 Austin Simpson Physician Assistant 217 South 3rd Street, Danville, KY 40422 2019-07-18
1033677695 Shannon Holland Erwin Counselor 475 W Main St Suite 160, Danville, KY 40422 2019-03-03
1225556871 Fallon Michelle Carnes Counselor 106 Belinda Blvd., Danville, KY 40422 2017-09-05
1780124529 Natasha Taylor Counselor 461 South 4th Street, Danville, KY 40422 2017-02-27
1184088890 Elizabeth Love Counselor 108 Saint Josephs Ct, Danville, KY 40422 2016-04-08
1801274550 Jeremy Tate Johnson Specialist/Technologist 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 2015-05-14
1649602228 Susan Hale Couzens Dentist 435 Whirlaway Dr, Danville, KY 40422 2013-08-06
1265751200 William Paul Baas Ophthalmology 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 2010-05-28
1780823666 Karen Totsuka IIi Speech-Language Pathologist 642 Nth 3rd St, Danville, KY 40422 2009-02-17
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710587555 Isaiah House Inc Internal Medicine 975 Hustonville Rd Ste 9, Danville, KY 40422-2165 2020-10-30
1245830017 James Duncan Md Consulting Service Internal Medicine 109 Venetian Way, Danville, KY 40422-9028 2020-10-29
1245708767 East Bay Premier Medical Internal Medicine 2090 Lusitano St, Danville, CA 94506-5022 2018-11-02
1528547247 The James B. Haggin Memorial Hospital Inc Internal Medicine 105 Ponder Ct Ste 104, Danville, KY 40422-9050 2018-08-13
1790291078 Vicente T Falgui Md PC Internal Medicine 990 Main Street, Suite 204, Danville, VT 24541 2017-12-21
1043662828 Centra Health Professional Services, LLC Internal Medicine 414 Park Avenue, Danville, VA 24541-9998 2016-07-06
1467802264 Philip Fischbacher Internal Medicine 696 San Ramon Valley Blvd, #101, Danville, CA 94526-4022 2016-06-13
1891180725 Zach Rottmann Internal Medicine Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 2015-03-30
1073947917 Waqas Nawaz Internal Medicine 209 S Crestwood Dr, Danville, PA 17821-8527 2013-08-28
1548529076 Charles L. Baumgart Internal Medicine 108 Woodbine Ln, Danville, PA 17821-9118 2012-05-03
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Competitor

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City DANVILLE
Zip Code 40422

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Dataset Information

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.

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