Strivemd Wellness & Ketamine PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

STRIVEMD WELLNESS & KETAMINE PLLC

Practice address

527 Centre View Blvd
Crestview Hills, KY 41017-3444

Phone

(859) 415-0056

NPI assigned

Dec 15, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Danny Park, MDNPI 1811148786

Title

MD

Phone

(419) 509-3726

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Danny S Park, MD

  • Neurology Physician
  • Chicago, IL
  • NPI 1811148786
  NPD Authorized official

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1558957415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 CENTRE VIEW BLVD",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173444",
            "telephone_number": "859-415-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 CENTRE VIEW BLVD",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173444",
            "telephone_number": "859-415-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIVEMD WELLNESS & KETAMINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "419-509-3726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Steele, RDH
• Stuart Allen Steinberg, M.D.
• Caitlyn Stith
• Kelsey M Stowe, D.P.T.
• Jennifer Strimpfel, PHD
• Lisa M. Stroud, CNP
• Amy Strouse, APRN
• Holly Nicole Sullivan, FNP-C
• Lauren Marie Sullivan, FNP
• Summit Medical Group (St. Elizabeth Physicians)

• Pain Medicine (Anesthesiology) Physician in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Pain Medicine (Anesthesiology) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.