WILLIAM WALLEN (NPI# 1164827945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164827945 |
| Entity Type | Individual |
| Full Name | WILLIAM WALLEN |
| Practice Address |
800 Rose St Lexington KY 40536 |
| Mailing Address |
100 Woodruff Circle Emory School of Medicine, Suite 327 Atlanta GA 30322 |
| Practice Telephone | 8593231000 |
| Mailing Telephone | 4047275658 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | TP576 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KY LICENSE | TP576 | 01 |
| Street Address |
800 ROSE ST |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560322 | Reinhold Munker | Internal Medicine | 800 Rose St, Lexington, KY 40536-4228 | 2005-07-07 |
| 1265032825 | Morgan Rose Grantham | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-31 |
| 1205436342 | Corrie Lyn Baumer | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-28 |
| 1053919779 | Timothy Burton | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-14 |
| 1588262307 | Adam Sieg | Pharmacist | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-14 |
| 1255939351 | Brittany Monroe | Registered Nurse | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-12 |
| 1477150365 | Pearl Elizabeth Peterson | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-05 |
| 1093322745 | Katie Lynn Rust | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| 1558978221 | Michele Lee Bodine | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| 1184231839 | Jennifer Gene Bauman | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982066197 | Rebecca Lee Phillip | Thoracic Surgery (Cardiothoracic Vascular Surgery) | University of Kentucky, Dept. of Cardiothoracic Surgery, 740 South Limestone, Suite A301, Lexington, KY 40536 | 2016-03-26 |
| 1013159540 | Jordan Miller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 740 S Limestone Rm A301, Lexington, KY 40536-0001 | 2009-03-30 |
| 1255503884 | Robert John Mccardle Sr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 811 W Main Street, Lexington, SC 29169 | 2008-03-24 |
| 1790888113 | Robert K Salley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1401 Harrodsburg Rd Ste B275, Lexington, KY 40504-1775 | 2006-09-07 |
| 1699758268 | Theodore Wright | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 740 S Limestone, A301, Lexington, KY 40536-0284 | 2005-11-28 |
| 1760477608 | Carl Lewis Backer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Uk Healthcare 740 S Limestone Suite A301, Lexington, KY 40536-2991 | 2005-09-16 |
| 1821450198 | Peter Michael Rodgers-fischl | Thoracic Surgery (Cardiothoracic Vascular Surgery) | University of Kentucky, 800 Rose Street, Lexington, KY 40536-0298 | 2016-03-24 |
| 1083023923 | Tyler Michael Gunn | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Department of Cardiothoracic Surgery, 740 S. Limestone St., Lexington, KY 40536-0284 | 2014-08-05 |
| 1669732574 | Cvt Surgeons of Kentucky, Psc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1401 Harrodsburg Rd, Suite C205, Lexington, KY 40504-3751 | 2012-05-24 |
| 1689991481 | Hetal Dinesh Patel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 740 S Limestone, A301, Lexington, KY 40536-0293 | 2010-05-03 |
| Find all providers in LEXINGTON | ||||
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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.