SANJIV MEHTA (NPI# 1013014133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013014133 |
Entity Type | Individual |
Full Name | SANJIV MEHTA |
Credential | MD |
Practice Address |
3615 E John Rowan Blvd Ste 203 Bardstown KY 40004-3265 |
Mailing Address |
5200 Commerce Crossings Dr Fl 3 Louisville KY 40229-2182 |
Practice Telephone | 5023376815 |
Practice Fax Number | 5023571682 |
Mailing Telephone | 5022534900 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-06-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 173000000X | Legal Medicine | 30440 | KY | Other Service Providers |
Y | 207X00000X | Orthopaedic Surgery | 30440 | KY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427407295 | Sanjiv Devendra Mehta | Pediatrics | 3401 Civic Center Blvd, 9nw, Room 55, Philadelphia, PA 19104-4319 | 2016-06-12 |
Street Address |
3615 E JOHN ROWAN BLVD STE 203 |
City | BARDSTOWN |
State | KY |
Zip Code | 40004-3265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578821393 | Andrea Hale Stucker | Physician Assistant | 3615 E John Rowan Blvd Ste 203, Bardstown, KY 40004-3265 | 2012-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
1285296194 | Hardin Memorial Hospital | Pharmacy | 3615 E John Rowan Blvd, Bardstown, KY 40004 | 2019-07-01 |
1376024919 | Flaget Healthcare Inc | Clinic/Center | 110 N. Salem Drive, Bardstown, KY 40004 | 2018-08-22 |
1730697517 | Shannon Michelle Woods | Nurse Practitioner | 1095 Morton Ave, Bardstown, KY 40004 | 2018-01-16 |
1477922490 | Kristi Ballard | Counselor | 1000 E John Rowan Blvd Ste 107, Bardstown, KY 40004 | 2015-09-21 |
1659705309 | Patricia Hall | Speech-Language Pathologist | 310 South 6th Street, Bardstown, KY 40004 | 2013-08-29 |
1629314885 | Saint Joseph-anc Home Care Services, LLC | Hospice Care, Community Based | 711 Mcdowell Blvd, Bardstown, KY 40004 | 2012-12-17 |
1780920058 | Stars and Stripes Medical LLC | Durable Medical Equipment & Medical Supplies | 301 W. Stephen Foster Ave, Suite B., Bardstown, KY 40004 | 2012-12-14 |
1366790230 | Lynda Onyinyechi Uzonwune | Pharmacist | 202 West Stephen Foster Avenue, Bardstown, KY 40004 | 2012-08-26 |
Find all providers in zip 40004 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881896033 | Mark C Duber | Orthopaedic Surgery | 875 Pennsylvania Ave, Bardstown, KY 40004-2529 | 2007-06-01 |
1902903016 | Michael Thomas Sewell | Orthopaedic Surgery | 875 Pennsylvania Ave, Bardstown, KY 40004-2529 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790322170 | Louisville Spine Institute LLC | Orthopaedic Surgery | 6500 Glenridge Park Pl Ste 9, Louisville, KY 40222-3450 | 2019-12-05 |
1114584612 | Injury Rehab Center LLC | Orthopaedic Surgery | 611 W Poplar St Ste C12, Elizabethtown, KY 42701-2477 | 2019-05-21 |
1679077531 | Travis Parkulo | Orthopaedic Surgery | 550 South Jackson Street 1st Floor Acb, Louisville, KY 40292-1219 | 2018-03-23 |
1588168611 | Boshen Liu | Orthopaedic Surgery | 740 S Limestone Room K403, Lexington, KY 40536-0293 | 2018-03-22 |
1013417419 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 509 Hampton Way, Richmond, KY 40475-8680 | 2018-02-13 |
1598265993 | Cumberland Foot & Ankle Centers | Orthopaedic Surgery | 141 Prosperous Pl Ste 22a, Lexington, KY 40509-1854 | 2018-02-13 |
1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
1881107886 | Bellefonte Physician Services, Inc. | Orthopaedic Surgery | 1100 St. Christopher Dr., Ashland, KY 41101-7055 | 2017-11-13 |
1073034385 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 115 Tradepark Dr Ste B, Somerset, KY 42503-3428 | 2017-06-28 |
1437679990 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1830 Destiny Ln Ste 110, Bowling Green, KY 42104-1088 | 2017-06-26 |
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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.