MICHAEL PETRY (NPI# 1003270422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003270422 |
| Entity Type | Individual |
| Full Name | MICHAEL PETRY |
| Practice Address |
215 Central Ave Ste 100 Louisville KY 40208-1450 |
| Practice Telephone | 5025888720 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R4220 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942731583 | Michael Petry | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2017-03-24 |
| Street Address |
215 CENTRAL AVE STE 100 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40208-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073570958 | Peter A Esch | Internal Medicine | 215 Central Ave Ste 100, Jencare Neighborhood Medical Valley Station, LLC, Louisville, KY 40208-1450 | 2006-04-26 |
| 1154826105 | Mitchell Adam Kutner | Student in an Organized Health Care Education/Training Program | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2018-03-29 |
| 1275038184 | Amanda Johnson Allen | Student in an Organized Health Care Education/Training Program | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2018-03-24 |
| 1467987768 | Lauren Miller | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2017-04-24 |
| 1902283609 | Ashley Mefford Iles | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-05-01 |
| 1063808137 | Sean Warren | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-04-15 |
| 1134547045 | Chris Ethridge | Student in an Organized Health Care Education/Training Program | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2014-03-29 |
| 1033358072 | Mary T Skinner | Nurse Practitioner | 215 Central Ave Ste 100, Suite 100, Louisville, KY 40208-1450 | 2009-02-16 |
| 1922211556 | Michael Eli Pendleton | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2007-05-08 |
| 1619003951 | Laura Morton | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447784764 | Emmanuel Nwaogu | Nurse Practitioner | 720 West Hill St, Norton Louisville Primary Care, Louisville, KY 40208 | 2017-04-13 |
| 1295277226 | Ausi Transort, LLC | Non-emergency Medical Transport (VAN) | 1907-c S 4th St, Louisville, KY 40208 | 2016-11-08 |
| 1962954198 | Daniel Thomas | Specialist/Technologist | 1514 Central Avenue, Louisville, KY 40208 | 2016-11-04 |
| 1720321185 | Moiz Ahmad Khan | Student in an Organized Health Care Education/Training Program | 619 Montana Ave, Louisville, KY 40208 | 2013-04-03 |
| 1831140771 | Rebecca P Pirkle | Nurse Practitioner | 215 Central Station, 102, Louisville, KY 40208 | 2006-05-15 |
| 1689231375 | Jennifer Hofelich | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2019-05-29 |
| 1962892125 | Catherine Leigh Stone | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2015-01-27 |
| 1659636199 | Robbie Brewer Blair | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2012-07-11 |
| 1700923513 | Robin Goodman | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2007-01-31 |
| 1225060361 | Cindy L Lewis | Nurse Practitioner | 215 Central Ave, 102, Louisville, KY 40208 | 2006-07-07 |
| Find all providers in zip 40208 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1104341171 | Brandy Wells | Family Medicine | 11612 Top Walnut Loop, Louisville, KY 40229 | 2017-08-10 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1770939043 | Rss Inc Dba Mediweightloss | Family Medicine | 166 N Hurstbourne Pkwy, Louisville, KY 40222-5108 | 2016-05-05 |
| 1104280379 | Jonathan Paul Newsom | Family Medicine | 2401 Terra Crossing Blvd Ste 101, Louisville, KY 40245-5371 | 2016-04-13 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40208 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.