NPIMap

Organization Active NPI

Man O War Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lexington, KY
National Provider Identifier
1083101240
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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
Last updated
Jul 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Nawar Soda, MDNPI 1083812598
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)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

1498 Boardwalk
Ste 108
Lexington, KY 40511

4097 Nichols Park Dr
Lexington, KY 40503
Phone (859) 245-2273

4097 Nichols Park Dr
Ste 108
Lexington, KY 40503
Phone (859) 245-2273

197 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 523-5310

Practitioners & affiliated clinicians

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 78

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.

Verify at the official NPI Registry.