DR. SCOTTY RAY NEWCOMER (NPI# 1023496205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023496205 |
| Entity Type | Individual |
| Full Name | DR. SCOTTY RAY NEWCOMER |
| Credential | D.O. |
| Practice Address |
8511 Watterson Trl Louisville KY 40299 |
| Mailing Address |
215 Central Ave Ste 200 Louisville KY 40208-1451 |
| Practice Telephone | 8504209288 |
| Mailing Telephone | 8504209288 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | TP624 | KY | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
04347 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
8511 WATTERSON TRL |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477050144 | Jolanta Staniszewska | Social Worker | 1700 Cargo St, Louisville, KY 40299 | 2018-04-10 |
| 1780192302 | Chris Mcclain | Pharmacist | 1901 Campus Place, Suite 100, Louisville, KY 40299 | 2018-01-17 |
| 1669984209 | Bluegrass Allergy Asthma and Immunology Psc | Internal Medicine | 11900 Plantside Dr Ste 9, Louisville, KY 40299 | 2017-11-03 |
| 1588182109 | Hollie Marie Wheeler | Speech-Language Pathologist | Paragon Rehabilitation 2701 Chesnut Station Court, Louisville, KY 40299 | 2017-09-04 |
| 1790206464 | Farrah Hill Rodgers | Occupational Therapy Assistant | 2701 Chestnut Station Court., Paragon Rehabilitation, Louisville, KY 40299 | 2017-07-03 |
| 1871972620 | Jag Medical LLC | Pharmacy | 9813 Merioneth Dr, Louisville, KY 40299 | 2015-05-27 |
| 1386048262 | Daniel Gerhard Eschenbach | Dentist | 12613 Taylorsville Rd., Suite #17, Louisville, KY 40299 | 2014-10-21 |
| 1740616192 | Alyse C Martin | Nurse Practitioner | 9569 Taylorsville Road Suite 109, Louisville, KY 40299 | 2013-09-17 |
| 1407104128 | Tammy Rowland Reddington | Nurse Practitioner | 4004 Hurstbroune Woods Drive, Louisville, KY 40299 | 2012-08-28 |
| 1285992263 | William Lee Cushing | Pharmacist | 4500 S. Hurstbourne Pkwy, Louisville, KY 40299 | 2012-04-27 |
| Find all providers in zip 40299 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174566152 | Christopher V. Pitcock | Family Medicine | 2400 Eastpoint Pkwy Ste 110, Louisville, KY 40223-4154 | 2006-06-14 |
| 1184663015 | Louisville Family & Sports Medicine Psc | Family Medicine | 9420 Brownsboro Rd, Louisville, KY 40241-1118 | 2006-06-06 |
| 1881042505 | Jordan Patrick Hilgefort | Family Medicine | 215 Central Ave Ste 200, Louisville, KY 40208-1451 | 2016-06-03 |
| 1396176541 | University of Louisville Research Foundation | Family Medicine | 215 Central Ave, Suite 200, Louisville, KY 40208-1449 | 2013-12-12 |
| 1447516125 | University of Louisville Physicians, Inc. | Family Medicine | 215 Central Ave, Suite 102, Louisville, KY 40208-1449 | 2012-04-06 |
| 1396001012 | University of Louisville Research Foundation | Family Medicine | 215 Central Ave, Suite 200, Louisville, KY 40208-1449 | 2012-04-06 |
| 1144596164 | Neil Mahadev Patil | Family Medicine | 201 Abraham Flexner Way, Suite 100, Louisville, KY 40202-3841 | 2012-03-23 |
| 1770609125 | Paul B Mckee Iv | Family Medicine | 201 Abraham Flexner Way, Suite 100, Louisville, KY 40202-3841 | 2007-03-21 |
| 1285640896 | Igor Singer | Family Medicine | 3801 Springhurst Blvd, Suite 104, Louisville, KY 40241-6137 | 2006-08-01 |
| 1114953817 | Ryan Edward Modlinski | Family Medicine | 4123 Dutchmans Ln, Suite 401, Louisville, KY 40207-4707 | 2006-06-24 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40299 |
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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.