HIGHLAND PARK PRIMARY CARE CENTER, PLLC (NPI# 1669617809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669617809 |
| Entity Type | Organization |
| Organization Name | HIGHLAND PARK PRIMARY CARE CENTER, PLLC |
| Practice Address |
475 N Highway 25 W Suite300 Williamsburg KY 40769-1576 |
| Mailing Address |
Po Box 506 Jellico TN 37762-0506 |
| Practice Telephone | 6065492054 |
| Practice Fax Number | 6065498156 |
| Mailing Telephone | 6065492054 |
| Mailing Fax Number | 6065498156 |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2010-08-16 |
| Authorized Official Name | DR. CHARLES H. WILKENS (PRESIDENT) |
| Authorized Official Telephone | 6065498054 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
475 N HIGHWAY 25 W SUITE300 |
| City | WILLIAMSBURG |
| State | KY |
| Zip Code | 40769-1576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366530586 | Thomas Doncaster | Family Medicine | 475 N Highway 25 W, Suite 100, Williamsburg, KY 40769-1576 | 2006-10-11 |
| 1811517725 | Windham Drug North, Inc | Pharmacy | 475 N Highway 25 W, Williamsburg, KY 40769-1576 | 2020-04-21 |
| 1568820629 | Tracy Johnson | Physician Assistant | 475 N Highway 25 W, Suite 100, Williamsburg, KY 40769-1576 | 2016-02-04 |
| 1558730945 | Rachel Nicole Ellison | Specialist/Technologist | 475 N Highway 25 W, Williamsburg, KY 40769-1576 | 2015-09-16 |
| 1417368580 | Air Affiliates Inc | Durable Medical Equipment & Medical Supplies | 475 N Highway 25 W, Suite 201, Williamsburg, KY 40769-1576 | 2014-05-12 |
| 1467768747 | Cumberland Foot and Ankle Center | Podiatrist | 475 N Highway 25 W, Suite 101, Williamsburg, KY 40769-1576 | 2010-08-25 |
| 1003045907 | Christina Lynn Breeding | Physical Therapy Assistant | 475 N Highway 25 W, Suite 200, Williamsburg, KY 40769-1576 | 2009-07-13 |
| 1730336975 | Rl Nutrition Services | Clinic/Center | 475 N Highway 25 W, Suite 101, Williamsburg, KY 40769-1576 | 2008-08-19 |
| 1760654073 | Rick Loudermelt | Dietitian, Registered | 475 N Highway 25 W, Williamsburg, KY 40769-1576 | 2008-03-26 |
| 1912128125 | Kari Natasha Mcknight | Physician Assistant | 475 N Highway 25 W, Suite 100, Williamsburg, KY 40769-1576 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535810 | Norvell Family Dentistry Pllc | Clinic/Center | 821 W. Hwy 25w, Williamsburg, KY 40769 | 2020-10-15 |
| 1730710724 | Heidi Marie Zwick | Specialist/Technologist | 6790 College Station Drive, Williamsburg, KY 40769 | 2020-01-29 |
| 1841764271 | Dayspring Health Inc | Clinic/Center | 640 West Highway 92, Williamsburg, KY 40769 | 2019-01-18 |
| 1649713728 | William Linscomb | Specialist/Technologist | 207 Circle Ave Apt8, Williamsburg, KY 40769 | 2016-11-22 |
| 1881137883 | Ashley Konrad | Specialist/Technologist | 6790 College Station Dr, Williamsburg, KY 40769 | 2016-11-22 |
| 1053680421 | Michael C Culver | Veterinarian | 319 Tackett Creek Rd, Williamsburg, KY 40769 | 2011-12-14 |
| 1942586060 | Smith and Brown Family Dentistry | Dentist | 821 S Hwy 25w, Williamsburg, KY 40769 | 2011-11-03 |
| 1346537271 | Kayla Fields | Dentist | 640 W Highway 92, Williamsburg, KY 40769 | 2011-06-29 |
| 1407154800 | Jellico Community Hospital, Inc | Nurse Practitioner | 998 South Highway 25w, Willaimsburg, KY 40769 | 2011-03-09 |
| 1568614543 | Family Health Care Associates of Williamsburg | Nurse Practitioner | 965 South Hwy 25, Ste 52, Williamsburg, KY 40769 | 2008-10-21 |
| Find all providers in zip 40769 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438557 | Healthsource of Ohio Inc | Clinic/Center | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2020-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383572 | Enhance The Aesthetic & Wellness Co. | Clinic/Center | 801 Country Club Ln, Hopkinsville, KY 42240-1370 | 2020-07-07 |
| 1679192611 | Temple Triage Pllc | Clinic/Center | 8209 Pennsylvania Run Rd, Louisville, KY 40228-2143 | 2020-04-09 |
| 1154966778 | Member Medical, Inc. | Clinic/Center | 3046 Dolphin Dr Ste 104, Elizabethtown, KY 42701-7182 | 2019-11-07 |
| 1104384213 | Directcare Family Health, Pllc | Clinic/Center | 525 High St Ste 209, Paris, KY 40361-1849 | 2019-03-07 |
| 1407311194 | Quad/med, LLC | Clinic/Center | 739 S Dixie St, Horse Cave, KY 42749 | 2019-02-06 |
| 1265906192 | Core Chiropractic and Family Wellness Pllc | Clinic/Center | 524 E.second St, Lexington, KY 40508 | 2019-01-14 |
| 1134606403 | Hope Primary & Urgent Care Pllc | Clinic/Center | 2157 S Highway 27, Stearns, KY 42647-6297 | 2018-07-19 |
| 1780177618 | Access Med, Pllc | Clinic/Center | 642 E Lexington Ave, Danville, KY 40422-1719 | 2018-06-14 |
| 1447743760 | Remedy House Calls | Clinic/Center | 37 Christopher Dr, South Shore, KY 41175-9447 | 2018-06-12 |
| 1932611019 | Family Care Professional Limited Liability Company | Clinic/Center | 3190 Irvine Rd., Richmond, KY 40475-4047 | 2017-10-30 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 40769 |
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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.