Provider Demographics
NPI:1255319075
Name:WAINSCOTT, DONALD RAY II (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:RAY
Last Name:WAINSCOTT
Suffix:II
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UK CHANDLER MEDICAL CENTER 800 ROSE STREET
Mailing Address - Street 2:C-224
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0293
Mailing Address - Country:US
Mailing Address - Phone:859-323-6346
Mailing Address - Fax:
Practice Address - Street 1:UK CHANDLER MEDICAL CENTER 800 ROSE STREET
Practice Address - Street 2:C-224
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0293
Practice Address - Country:US
Practice Address - Phone:859-323-6346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA605363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0692918OtherMEDICARE
KY95003380Medicaid
KY0905205OtherMEDICARE
KY0692918OtherMEDICARE
P18923Medicare UPIN