Wesley Wyatt Johnson (NPI# 1619972171, PAC ID# 6608836911) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619972171 |
| PAC ID by PECOS | 6608836911 |
| Professional Enrollment ID | I20141229002197 |
| Full Name | Wesley Wyatt Johnson |
| Organization Legal Name | KENTUCKY ORTHOPEDIC REHABILITATION LLC |
| Address |
1547 Bypass Rd Winchester KY 40391-2714 |
| Phone Number | 8597444411 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0345157293 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180103 | BAPTIST HEALTH LEXINGTON |
| 180143 | SAINT JOSEPH EAST |
| 180010 | SAINT JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1775 Alysheba Way, Suite 201, Lexington, KY 40509-2381 | 8592785007 | FAMILY PRACTICE ASSOCIATES OF LEXINGTON PSC |
| 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2289 | 8592649249 | KENTUCKY ORTHOPEDIC REHABILITATION LLC |
| 1547 Bypass Rd, Winchester, KY 40391-2714 | 8597444411 | KENTUCKY ORTHOPEDIC REHABILITATION LLC |
| Organization Legal Name | KENTUCKY ORTHOPEDIC REHABILITATION LLC |
| Physicians | 104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lyndsay Whitlock | Physical Therapy | Kentucky Orthopedic Rehabilitation LLC | 404 Shoppers Dr, Winchester, KY 40391-1378 |
| Katherine O Kinsel | Internal Medicine | Kentucky Orthopedic Rehabilitation LLC | 1547 Bypass Rd, Winchester, KY 40391-2714 |
| Brittany L Kersey | Physical Therapy | Kentucky Orthopedic Rehabilitation LLC | 543 Taylorsville Rd, Suite 101, Taylorsville, KY 40071-6766 |
| Daniel Colby Newsome | Physician Assistant | Kentucky Orthopedic Rehabilitation LLC | 5006 Atwood Dr, Suite 2, Richmond, KY 40475-8179 |
| Christine T Ko | Internal Medicine | Kentucky Orthopedic Rehabilitation LLC | 836 Euclid Ave, Suite 104, Lexington, KY 40502-1783 |
| Bryan M Honaker | Family Medicine | Kentucky Orthopedic Rehabilitation LLC | 815 Hillcrest Dr, Suite C, Brandenburg, KY 40108-1415 |
| Jill Ellen Crawford | Nurse Practitioner | Kentucky Orthopedic Rehabilitation LLC | 101 Eastside Dr A, Georgetown, KY 40324-8763 |
| Andrew W Ryan | Orthopedic Surgery | Kentucky Orthopedic Rehabilitation LLC | 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2289 |
| Letitia A Carter | Physician Assistant | Kentucky Orthopedic Rehabilitation LLC | 3070 Lakecrest Cir, Suite 700, Lexington, KY 40513-1770 |
| Wallace L Huff | Orthopedic Surgery | Kentucky Orthopedic Rehabilitation LLC | 1650 Bryan Station Rd, Suite 110, Lexington, KY 40505-2139 |
| Street Address |
1547 BYPASS RD |
| City | WINCHESTER |
| State | KY |
| Zip | 40391-2714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine O Kinsel | Internal Medicine | Kentucky Orthopedic Rehabilitation LLC | 1547 Bypass Rd, Winchester, KY 40391-2714 |
| Gregory F Grau | Orthopedic Surgery | Kentucky Orthopedic Rehabilitation LLC | 1547 Bypass Rd, Winchester, KY 40391-2714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles John Arnold Jr. | Internal Medicine | Clark Regional Physician Practices LLC | 120 Professional Ave, Winchester, KY 40391-1116 |
| Terry Troutt | Physical Medicine and Rehabilitation | 136 Professional Ave, Winchester, KY 40391-1116 | |
| Aleksandr Mogilevski | Neurology | 128 Professional Ave, Winchester, KY 40391-1116 | |
| August J Ott | Internal Medicine | 134 Professional Ave, Winchester, KY 40391-1116 | |
| Perry N Williams Ii | Chiropractic | 1199 W Lexington Ave, Winchester, KY 40391-1134 | |
| Travis S Ruda | Chiropractic | Winchester Chiropractic | 1199 W Lexington Ave, Winchester, KY 40391-1134 |
| Mary F Hardin | Nurse Practitioner | Clark County Health Department | 400 Professional Ave, Winchester, KY 40391-1147 |
| Sherrie Y Bailey | Nurse Practitioner | Clark County Health Department | 400 Professional Ave, Winchester, KY 40391-1147 |
| Wayne L Iverson | Cardiovascular Disease (cardiology) | 1300 W Lexington Ave, Suite 3, Winchester, KY 40391-1154 | |
| Ara Samuel Makdessian | Otolaryngology | Bluegrass Ear, Nose and Throat Clinic | 205 Floyd Clay Dr, Suite 3, Winchester, KY 40391-1156 |
| Find all physicians in zip 40391 | |||
| City | WINCHESTER |
| Zip Code | 40391 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WINCHESTER + FAMILY MEDICINE |
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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.