WILD HEALTH AT PROOF LLC (NPI# 1588129035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588129035 |
| Entity Type | Organization |
| Organization Name | WILD HEALTH AT PROOF LLC |
| Practice Address |
230 W Main St Lexington KY 40507-1340 |
| Practice Telephone | 8593094839 |
| Mailing Telephone | 8593094839 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | DR. MATTHEW DAWSON (CEO) |
| Authorized Official Telephone | 8593094839 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
230 W MAIN ST |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40507-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945729 | Chadwick Trei Tackett | Registered Nurse | 230 W Main St, Lexington, KY 40507-1340 | 2019-04-08 |
| 1023262300 | Matthew Stewart Dawson | Emergency Medicine | 230 W Main St, Lexington, KY 40507-1340 | 2008-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366929077 | Melanie Dailey | Acupuncturist | 465 E High St Ste 208a, Lexington, KY 40507 | 2018-07-25 |
| 1376030262 | Revive Ministries, Inc | Substance Abuse Rehabilitation Facility | 185 Elm Tree Ln, Lexington, KY 40507 | 2018-04-17 |
| 1255788089 | Milagros Velazquez | Counselor | 201 Mechanic St., Lexington, KY 40507 | 2016-05-23 |
| 1326293788 | Kim Michelle Thompson | Family Medicine | 217 Elm Tree Lane, Polk Dalton Clinic, Lexington, KY 40507 | 2008-11-25 |
| 1932389293 | Lexington Fayette County Health Department | Public Health or Welfare | 161 Bruce St, Lexington, KY 40507 | 2007-11-05 |
| 1508983800 | Sandra Ann Thomas | Pharmacist | 401 West Main Street, Hutchinson Drugstore, Lexington, KY 40507 | 2007-03-23 |
| 1508823857 | Lexington Fayette Urban Co Government | Ambulance | 219 E Third St, Lexington, KY 40507 | 2006-04-28 |
| 1194254458 | Ashley Armstrong | Social Worker | 201 Mechanic St., Lexington, KY 40507 | 2017-06-08 |
| 1003355942 | Nancy Elaine Garth | Registered Nurse | 217 Elm Tree Lane, Uk Healthcare Polk-dalton Clinic, Lexington, KY 40507 | 2017-02-13 |
| 1467901686 | Megan D Davidson | Case Manager/Care Coordinator | 201 Mechanic St, Lexington, KY 40507 | 2016-09-29 |
| Find all providers in zip 40507 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1922624774 | Cindy Viers | Family Medicine | 310 Oxford Rd, Lexington, OH 44904-1039 | 2020-06-17 |
| 1992338818 | Sarah Angelina Clem | Family Medicine | 2251 War Admiral Way Ste 125, Lexington, KY 40509-2546 | 2020-02-19 |
| 1073144481 | Bluegrass Primary Health Care Center, Inc. | Family Medicine | 224 N Martin Luther King Blvd Ste 200, Lexington, KY 40507-2133 | 2020-02-04 |
| 1952955056 | Preferred Injury Physicians LLC | Family Medicine | 2700 Old Rosebud Rd Ste 330, Lexington, KY 40509-8630 | 2019-07-26 |
| 1144888579 | Lexington Regional Health Center | Family Medicine | 1101 Buffalo Bnd Ste A, Lexington, NE 68850-1528 | 2019-05-31 |
| 1881258085 | Mallory Jade Guagenti | Family Medicine | 3399 Tates Creek Rd Ste 230, Lexington, KY 40502-7404 | 2019-04-24 |
| 1699230540 | Novant Medical Group. Inc. | Family Medicine | 4705 S Highway 150, Lexington, NC 27295-5203 | 2019-02-05 |
| 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.