DR. AMELIA ROSE NORDMANN WANTLAND M.D. - NPI 1770901712

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Dr. Amelia Rose Nordmann Wantland M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMELIA ROSE NORDMANN WANTLAND M.D. (NPI 1770901712) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (49821) and active in the NPI registry since April 2014. She maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1770901712

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. AMELIA ROSE NORDMANN WANTLANDCredential: M.D.

Location Address1603 STEVENS AVELouisville, KY 40205-1087

Mailing AddressPo Box 950248Louisville, KY 40295-0248 · (866) 273-5392 · Fax (502) 489-5750

Phone(502) 451-5955

Fax(502) 451-5925

Sole ProprietorNo

Enumeration DateApril 6, 2014

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1770901712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 49821

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1603 STEVENS AVE, Louisville, KY 40205

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Other Names 1

Former Name (1)Dr. Amelia Rose Nordmann M.d.

Secondary Practice Location 1

Location 11941 Bishop Lane, Suite 900Louisville, KY 40218 · Phone (502) 588-2500 · Fax (502) 588-2501

Other Identifiers 1

Medicaid7100361700KY

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LISA SENAVININ POWELL PH.D.

Psychologist (Clinical Child & Adolescent)

1603 STEVENS AVE, SUITE 203
LOUISVILLE, KY 40205

Jefferson County (502) 558-5428

CATHERINE HAMMOND MD

Family Medicine