| Oliver Winston Behavioral Urgent Care Llc | |
|
1618 Harrodsburg Rd Lexington KY 40504-3706 | |
| (859) 444-5790 | |
| (859) 444-5791 |
| Full Name | Oliver Winston Behavioral Urgent Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1618 Harrodsburg Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Dhaval Patel (OWNER) |
| Authorized Official Contact | 8593098737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oliver Winston Behavioral Urgent Care Llc 2220 Executive Dr Ste 101 Lexington KY 40505-4871 Ph: (859) 309-8737 | Oliver Winston Behavioral Urgent Care Llc 1618 Harrodsburg Rd Lexington KY 40504-3706 Ph: (859) 444-5790 |
| NPI Number | 1245787084 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Medicare PECOS PAC ID | 4082995584 |
|---|---|
| Medicare Enrollment ID | O20161221000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245787084 | NPI | - | NPPES |
| 7100442110 | Medicaid | KY | |
| 810727 | Other | KY | AODE |
| Provider Name | Jacqueline S Klee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215028766 PECOS PAC ID: 7911001417 Enrollment ID: I20070322000215 |
| Provider Name | Marissa E. Shih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629165956 PECOS PAC ID: 2163553827 Enrollment ID: I20100624000882 |
| Provider Name | John E Pappas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922219294 PECOS PAC ID: 0042341158 Enrollment ID: I20100706000079 |
| Provider Name | Rizwan Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871662684 PECOS PAC ID: 9335053933 Enrollment ID: I20110211000463 |
| Provider Name | Abner O Rayapati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376789388 PECOS PAC ID: 1951542547 Enrollment ID: I20130724000434 |
| Provider Name | Yasmin Majumder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811305766 PECOS PAC ID: 1254559446 Enrollment ID: I20140829002132 |
| Provider Name | Andrea L Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366582207 PECOS PAC ID: 2466774492 Enrollment ID: I20141202002556 |
| Provider Name | Amir I Kaldas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316914526 PECOS PAC ID: 4284607862 Enrollment ID: I20150217001878 |
| Provider Name | Pamela Ann Kaldas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225300783 PECOS PAC ID: 7214166446 Enrollment ID: I20150814014549 |
| Provider Name | Diana Spring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003212515 PECOS PAC ID: 7618270216 Enrollment ID: I20160126002323 |
| Provider Name | Cheryl Marrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184096794 PECOS PAC ID: 9335447986 Enrollment ID: I20160414000725 |
| Provider Name | Sherry L Wolter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568929230 PECOS PAC ID: 5193065613 Enrollment ID: I20190320001823 |
| Provider Name | Andrea Semones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932539053 PECOS PAC ID: 6406285451 Enrollment ID: I20200326002773 |
| Provider Name | Kayla Marie Strother |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669034781 PECOS PAC ID: 7315357241 Enrollment ID: I20201104003055 |
| Provider Name | Diana K Brosius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407598048 PECOS PAC ID: 4789054883 Enrollment ID: I20230106000550 |
| Provider Name | Sherrie Lee Keltner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346723855 PECOS PAC ID: 5597122861 Enrollment ID: I20230531002599 |
| Provider Name | Angela Zipf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437925005 PECOS PAC ID: 9739525635 Enrollment ID: I20240314000765 |
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