Active NPI
Man O War Urgent Care LLC
- Urgent Care Clinic/Center
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- MAN O WAR URGENT CARE LLC
- Practice address
- 4097 Nichols Park Dr Ste 108
Lexington, KY 40503 - Phone
- (859) 523-5310
- Fax
- (859) 523-5312
- NPI assigned
- Apr 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nawar Soda, MD
- Title
- Owner
- Phone
- (859) 523-5310
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
4097 Nichols Park Dr Ste 108
Lexington, KY 40503
Mailing address
PO Box 429
Berea, KY 40403-0429
Phone (859) 523-5310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180607003185 | KY | Part B Supplier - Clinic/Group Practice | 6002171386 |
Receives reassigned benefits from 73 practitioners Practice locations: Lexington, KY; Nicholasville, KY |
National Provider Directory
National Provider DirectoryLocations
4097 Nichols Park Dr
Lexington, KY 40503
Phone (859) 245-2273
1498 Boardwalk
Ste 108
Lexington, KY 40511
4097 Nichols Park Dr
Ste 108
Lexington, KY 40503
Phone (859) 245-2273
644 Maysville Rd
Mt Sterling, KY 40353
Phone (859) 398-2100
Practitioners & affiliated clinicians
Practitioners 81
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532995200000",
"number": "1083101240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 429",
"city": "BEREA",
"state": "KY",
"postal_code": "404030429",
"telephone_number": "859-523-5310",
"fax_number": "859-523-5312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4097 NICHOLS PARK DR STE 108",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40503",
"telephone_number": "859-523-5310",
"fax_number": "859-523-5312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAN O WAR URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-13",
"last_updated": "2018-07-31",
"status": "A",
"authorized_official_last_name": "SODA",
"authorized_official_first_name": "NAWAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-523-5310",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.