Healthcare Provider Details

I. General information

NPI: 1386619203
Provider Name (Legal Business Name): JAMES ROBERT WHARTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2195 HARRODSBURG RD STE 2
LEXINGTON KY
40504-3516
US

IV. Provider business mailing address

13802 LAKE POINT CIR STE 102
LOUISVILLE KY
40223-4219
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-3376
  • Fax: 859-323-0350
Mailing address:
  • Phone: 502-245-4450
  • Fax: 502-245-4462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number50543
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number40543
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberE0888
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: