EAST TENNESSEE WOUND CARE PC – NPI #1568503993
Preventive Medicine

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

EAST TENNESSEE WOUND CARE PC is a provider located in LOUISVILLE, KY. NPPES has assigned the NPI number 1568503993 to EAST TENNESSEE WOUND CARE PC on February 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. EAST TENNESSEE WOUND CARE PC is also known by the name ROLYN PSC. The primary taxonomy selected by this provider is 2083P0011X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Undersea and Hyperbaric Medicine

The NPI profile was previously updated about 13 years ago on Jun 20, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST TENNESSEE WOUND CARE PC below.

NPI Profile for
EAST TENNESSEE WOUND CARE PC

NPI Number
1568503993
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST TENNESSEE WOUND CARE PC
Other Name: ROLYN PSC
Primary location
4950 NORTON HEALTHCARE BLVD
SUITE 101
LOUISVILLE, KY 40241-2845
Phone: (502) 446-6160 Fax:
Mailing address
PO BOX 8180
LOUISVILLE, KY 40257-8180
Phone: (502) 753-0680 Fax: (502) 753-0687
Organization Subpart
No
Authorized Official
CARY KIRK
SOLE OWNER
Phone: (502) 930-9861
Updated
Identifiers

Identifiers for EAST TENNESSEE WOUND CARE PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERANTHEM BLUE CROSS BLUE SHIELDKY000000487847
OTHERPASSPORT ADVANTAGEKY2789407000
OTHERPASSPORT HEALTH PLANSKY50012967
OTHERRAILROAD MEDICAREKYDF7517
MEDICAIDIN200828020A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0011X
- Preventive Medicine / Undersea and Hyperbaric Medicine (Primary)
KY 21368

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.