NPIMap

Organization Active NPI

Transformation Wellness Center LLC

  • Internal Medicine Physician
  • Paducah, KY
National Provider Identifier
1326078064
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02797 Issued in KY
Legal business name
TRANSFORMATION WELLNESS CENTER LLC
Practice address
632 Lone Oak Rd
Paducah, KY 42003-4540
Phone
(270) 443-0885
Fax
(270) 443-9068
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Troy M Nelson, D.O, PHARM.D.,M.P.H.
Title
Medical Director
Phone
(270) 443-0885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 02797 KY Primary

Addresses

Primary practice location

632 Lone Oak Rd
Paducah, KY 42003-4540

Mailing address

632 Lone Oak Rd
Paducah, KY 42003-4540
Phone (270) 443-0885

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1326078064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034540",
            "telephone_number": "270-443-0885",
            "fax_number": "270-443-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034540",
            "telephone_number": "270-443-0885",
            "fax_number": "270-443-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "270-443-0885",
        "authorized_official_credential": "D.O, PHARM.D.,M.P.H."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "02797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.