Marc Everett Wynstra (NPI# 1205487857, PAC ID# 2860724341) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1205487857 |
| PAC ID by PECOS | 2860724341 |
| Professional Enrollment ID | I20191101002494 |
| Full Name | Marc Everett Wynstra |
| Organization Legal Name | OSPTKY LLC |
| Address |
230 W Main St Suite B Lexington KY 40507-1340 |
| Phone Number | 8593034312 |
| Gender | M |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6507132107 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1868 Plaudit Pl, Suite B, Lexington, KY 40509-2429 | 8592640512 | OSPTKY LLC |
| 230 W Main St, Suite B, Lexington, KY 40507-1340 | 8593034312 | OSPTKY LLC |
| Organization Legal Name | OSPTKY LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Anthony Hayden | Physical Therapy | Osptky LLC | 171 N Keeneland Dr, Richmond, KY 40475-8687 |
| Lucas T Frasher | Physical Therapy | Osptky LLC | 460 E Brannon Rd, Nicholasville, KY 40356-6039 |
| Nathan R Koslakiewicz | Physical Therapy | Osptky LLC | 11330 Maple Brook Dr, Louisville, KY 40241-2080 |
| Matthew L Stevens | Physical Therapy | Osptky LLC | 1868 Plaudit Pl, Suite B, Lexington, KY 40509-2429 |
| Bradley S Wheeldon | Physical Therapy | Osptky LLC | 11330 Maple Brook Dr, Louisville, KY 40241-2080 |
| Justin B Rosinski | Physical Therapy | Osptky LLC | 11330 Maple Brook Dr, Louisville, KY 40241-2080 |
| George Alexander Tate | Physical Therapy | Osptky LLC | 11330 Maple Brook Dr, Louisville, KY 40241-2080 |
| Heather Elyse Shannon | Physical Therapy | Osptky LLC | 11330 Maple Brook Dr, Louisville, KY 40241-2080 |
| Theresa Lynn Kelsey | Physical Therapy | Osptky LLC | 230 W Main St, Suite B, Lexington, KY 40507-1340 |
| James Rothbauer | Physical Therapy | Osptky LLC | 1868 Plaudit Pl, Suite B, Lexington, KY 40509-2429 |
| Street Address |
230 W MAIN ST SUITE B |
| City | LEXINGTON |
| State | KY |
| Zip | 40507-1340 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William R Rankin | Urology | Ephraim Mcdowell Health Resource Inc | 230 W Main St, Suite 102, Danville, KY 40422-1871 |
| Adrian M Byrd | Clinical Social Worker | 230 W Main St, Decatur, IL 62523-1215 | |
| Theresa Lynn Kelsey | Physical Therapy | Osptky LLC | 230 W Main St, Suite B, Lexington, KY 40507-1340 |
| Ryan M Turpen | Urology | Ephraim Mcdowell Health Resource Inc | 230 W Main St, Suite 102, Danville, KY 40422-1871 |
| Kathryn Hunt | Physical Therapy | Osptky LLC | 230 W Main St, Suite B, Lexington, KY 40507-1340 |
| Christopher Alan Marek | Plastic and Reconstructive Surgery | 230 W Main St, Suite 101, Danville, KY 40422-1871 | |
| Jordan T Barker | Physical Therapy | Osptky LLC | 230 W Main St, Suite B, Lexington, KY 40507-1340 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent B Dummer | Psychologist, Clinical | 436 W 2nd St, Lexington, KY 40507-1040 | |
| Jenny L Mills | Clinical Social Worker | New Vista of The Bluegrass Inc | 201 Mechanic St, Lexington, KY 40507-1086 |
| Teresa A Oropilla-kiefer | Psychiatry | New Vista of The Bluegrass Inc | 201 Mechanic St, Lexington, KY 40507-1086 |
| Richard M Walker | Clinical Social Worker | New Vista of The Bluegrass Inc | 201 Mechanic St, Lexington, KY 40507-1086 |
| Leonard A Clark | Clinical Social Worker | Bluegrass.org Inc | 201 Mechanic St, Lexington, KY 40507-1086 |
| Janey E Huff | Clinical Social Worker | Bluegrass.org Inc | 201 Mechanic St, Lexington, KY 40507-1086 |
| Marian J Broadus | Psychologist, Clinical | 436 W 2nd St, Lexington, KY 40507-1089 | |
| Patricia B Wellons | Clinical Social Worker | 117 W 2nd St, Lexington, KY 40507-1137 | |
| Jason K Freeburne | Nurse Practitioner | Eventus Wholehealth Pllc | 155 E Main St, Suite 260, Lexington, KY 40507-1359 |
| Gregory H Maddox | Clinical Social Worker | Eventus Wholehealth Pllc | 155 E Main St, Suite 260, Lexington, KY 40507-1359 |
| Find all physicians in zip 40507 | |||
| City | LEXINGTON |
| Zip Code | 40507 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LEXINGTON + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.