Michael Wood Phelps Sr.

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

103 Issued in KY

Practice address

1169 Eastern Pkwy Ste 1100
Louisville, KY 40217-1443

Phone

(502) 454-0352

Fax

(502) 451-3096

NPI assigned

Jun 3, 2021

Last updated

Jun 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wood Optical Co Inc

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1518050517
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1538735170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 1100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171443",
            "telephone_number": "502-454-0352",
            "fax_number": "502-451-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 1100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171443",
            "telephone_number": "502-454-0352",
            "fax_number": "502-451-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "MICHAEL",
        "middle_name": "WOOD",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING INSTRUMENT SPECIALIST",
            "identifier": "103",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "woodoptical@att.net",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1169 Eastern Pkwy Ste 1100",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• PHC-Cleveland LLC (Bolivar Medical Center)
• Alec Marshall Phelps
• James Stewart Phelps, ATR
• Margaret Phelps
• Melissa Phelps, LCSW
• Steven D Phelps, LMFT
• James Frederick Phifer, PH.D.
• Diajiah Philidor, RN
• Philip J. Feitelson, M.D. PSC
• Prejesh Philips, M.D.

• Hearing Instrument Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Hearing Instrument Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.