Robert L Wyenandt Jr,MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROBERT L WYENANDT JR,MD PLLC

Practice address

2156 Chamber Center Dr
Lakeside Park, KY 41017-1669

Phone

(859) 341-6255

Fax

(859) 547-1197

NPI assigned

Oct 27, 2005

Organization subpart

No

Name

Robert L Wyenandt Jr., MD

Title

Owner

Phone

(859) 341-6255

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2008.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1538159751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 CHAMBER CENTER DR",
            "city": "LAKESIDE PARK",
            "state": "KY",
            "postal_code": "410171669",
            "telephone_number": "859-341-6255",
            "fax_number": "859-547-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 CHAMBER CENTER DR",
            "city": "LAKESIDE PARK",
            "state": "KY",
            "postal_code": "410171669",
            "telephone_number": "859-341-6255",
            "fax_number": "859-547-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L WYENANDT JR,MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "WYENANDT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-341-6255",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lakeside Park, KY
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.