GARY NATHANAEL WORTZ (NPI# 1710055041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710055041 |
| Entity Type | Individual |
| Full Name | GARY NATHANAEL WORTZ |
| Credential | MD |
| Practice Address |
325 W Walnut St Suite 400 Lebanon KY 40033-1377 |
| Practice Telephone | 2706920047 |
| Practice Fax Number | 2706920219 |
| Mailing Telephone | 2706920047 |
| Mailing Fax Number | 2706920219 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2010-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 40650 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | ME104362 | 01 |
| KY | AETNA | 9293157 | 01 |
| KY | CIGNA | 0744160 | 01 |
| KY | DEA | BW9525520 | 01 |
| KY | 7100063600 | 05 | |
| KY | ANTHEM | 000000571982 | 01 |
| KY | KY MEDICAL LICENSE | 40650 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588605570 | Gary Joseph Wortz | Internal Medicine | 535 S Burdick St, Kalamazoo, MI 49007-5294 | 2006-06-09 |
| Street Address |
325 W WALNUT ST SUITE 400 |
| City | LEBANON |
| State | KY |
| Zip Code | 40033-1377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798336 | Francis W Southall Jr | Pharmacy | 325 W Walnut St, Ste 500, Lebanon, KY 40033 | 2005-05-28 |
| 1437614120 | Savannah Marie King | Nurse Practitioner | 325 W Walnut St, Lebanon, KY 40033-1377 | 2019-02-06 |
| 1962863407 | Jody Coomer | Nurse Practitioner | 325 W Walnut St, Ste. 600, Lebanon, KY 40033-1377 | 2016-03-11 |
| 1972983559 | Amy Wheatley | Nurse Practitioner | 325 W Walnut St, Ste 600, Lebanon, KY 40033-1377 | 2015-06-09 |
| 1093156929 | Monica B Strenecky | Nurse Practitioner | 325 W Walnut St, Suite 600, Lebanon, KY 40033-1377 | 2013-07-08 |
| 1932410958 | Laura L Mccain | Nurse Practitioner | 325 W Walnut St, Suite 600, Lebanon, KY 40033-1377 | 2010-06-24 |
| 1316263304 | Daniel V. Hunt, Md., P.s.c. | Orthopaedic Surgery | 325 W Walnut St, Suite 100, Lebanon, KY 40033-1377 | 2010-04-15 |
| 1285969055 | Amanda M Ballard | Optometrist | 325 W Walnut St, Ste400, Lebanon, KY 40033-1377 | 2009-10-12 |
| 1073799268 | Bluegrass Eye Surgery Psc | Ophthalmology | 325 W Walnut St, Suite 400, Lebanon, KY 40033-1377 | 2008-01-17 |
| 1497871859 | Southall Pharmacy Pllc | Durable Medical Equipment & Medical Supplies | 325 W Walnut St, Suite 500, Lebanon, KY 40033-1377 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
| 1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
| 1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
| 1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
| Find all providers in zip 40033 | ||||
| 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 |
|---|---|---|---|---|
| 1487098927 | Christine Ann Rust | Ophthalmology | 1670 West Main St, Suite 100, Lebanon, TN 37087 | 2013-04-27 |
| 1881932432 | Lyle Moses | Ophthalmology | 19 Old Kings Hwy, Lebanon, NH 03766-2742 | 2013-01-16 |
| 1124158795 | David L Streisfeld Md PC | Ophthalmology | 834 Norman Drive, Lebanon, PA 17042 | 2007-03-06 |
| 1376609958 | Aaron Dent | Ophthalmology | 515 Cowan Dr, Lebanon, MO 65536-4604 | 2006-12-28 |
| 1437246824 | Arthur W Walsh | Ophthalmology | 56 Bank St, Lebanon, NH 03766 | 2006-10-06 |
| 1376597534 | Patrick J. Morhun, Md, Professional Corporation | Ophthalmology | 6 S Park St, Lebanon, NH 03766-1326 | 2006-05-20 |
| 1144273210 | Albert A Alley | Ophthalmology | 1510 Cornwall Road, Lebanon, PA 17042 | 2006-05-18 |
| 1366435174 | David L Streisfeld | Ophthalmology | 834 Norman Dr, Lebanon, PA 17042 | 2005-08-26 |
| 1740273952 | James William Bush | Ophthalmology | 770 Norman Dr, Lebanon, PA 17042-7495 | 2005-08-24 |
| 1609874320 | F Kirk Bowles | Ophthalmology | 1670 W Main St, Ste 100, Lebanon, TN 37087-1344 | 2005-07-07 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on GARY NATHANAEL WORTZ.
| 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.