Verdant Healthcare LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

40753 Issued in KY

Legal business name

VERDANT HEALTHCARE LLC

Practice address

1300 Andrea St
Suite 100
Bowling Green, KY 42104-3382

Phone

(270) 780-3546

Fax

(270) 780-3547

NPI assigned

Sep 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dwight Howell Sutton, MD

Title

Owner

Phone

(270) 780-3546

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danny L Harrison, MD

  • Surgery Physician
  • Bowling Green, KY
  • NPI 1295885309
  NPD (past)
• Bryan Keith Botner, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Winter Park, FL
  • NPI 1134252349
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1003364373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ANDREA ST",
            "address_2": "SUITE 100",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043382",
            "telephone_number": "270-780-3546",
            "fax_number": "270-780-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ANDREA ST",
            "address_2": "SUITE 100",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043382",
            "telephone_number": "270-780-3546",
            "fax_number": "270-780-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDANT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "HOWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-780-3546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "40753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100017480",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zamira Vasquez
• Heather Mary Diana Vaughn, LCADC
• Rodney Dean Veitschegger Jr., MD
• Eric Santiago Velez, CSW
• Kayla Velotta
• Gary Verst, M.D.
• Verus Healthcare, LLC
• Christopher Vibbert
• Sierra Ann Kay Vilfer
• Angelica Villarreal, BHS

• Primary Care Clinic/Center in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.