Active NPI
Raymond Wechman Jr., MD
- Family Medicine Physician
- Georgetown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25343
- Practice address
- 1138 Lexington Rd
Ste 130
Georgetown, KY 40324-9672 - Phone
- (502) 867-0222
- Fax
- (502) 867-0420
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25343 | KY | Primary |
Addresses
Primary practice location
1138 Lexington Rd
Ste 130
Georgetown, KY 40324-9672
Mailing address
1138 Lexington Rd
Ste 130
Georgetown, KY 40324-9672
Phone (502) 867-0222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64253438 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25343 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Mso LLC | Current | Accepting new patients | |
| Kentucky Mso, LLC | Family Medicine | Current | Accepting new patients |
| Kentucky Mso LLC | Current | Accepting new patients | |
| Georgetown Family Physicians, PSC | Family Medicine | Past | Accepting new patients |
| Marshall Emergency Services Associates, PLLC | Past | Accepting new patients |
Locations
1502 Oxford Dr
Ste 100
Georgetown, KY 40324
Phone (502) 570-3785
1138 Lexington Rd
Ste 130
Georgetown, KY 40324
Phone (502) 570-2324
1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100
1140 Lexington Rd
Ste 105
Georgetown, KY 40324
Phone (502) 868-5660
Interoperability endpoints
- raymond.wechman.1@19475.direct.athenahealth.com
- igs8912@yourcarecommunity.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Gastroenterology and Hepatology of the Bluegrass
- Gastroenterology Physician
- Georgetown, KY
- NPI 1164867883
-
- Family Medicine Physician
- Georgetown, KY
- NPI 1306924535
-
dba Centerpoint Family Medicine - Lawrenceburg
- Rural Health Clinic/Center
- Lawrenceburg, KY
- NPI 1922860758
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1891737185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1063497113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1138 LEXINGTON RD",
"address_2": "STE 130",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249672",
"telephone_number": "502-867-0222",
"fax_number": "502-867-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 LEXINGTON RD",
"address_2": "STE 130",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249672",
"telephone_number": "502-867-0222",
"fax_number": "502-867-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WECHMAN",
"first_name": "RAYMOND",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "25343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64253438",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.