DEER PARK FAMILY DOCTORS PLLC


Address: 1603 Stevens Ave, Louisville, KY 40205-1042
Phone: 5024515955

DEER PARK FAMILY DOCTORS PLLC (NPI# 1033265731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033265731
Entity Type Organization
Organization Name DEER PARK FAMILY DOCTORS PLLC
Practice Address 1603 Stevens Ave
Louisville
KY 40205-1042
Practice Telephone 5024515955
Practice Fax Number 5024515925
Mailing Telephone 5024515955
Mailing Fax Number 5024515925
Enumeration Date 2007-01-26
Last Update Date 2020-08-22
Authorized Official Name STEVEN ROSZELL (PHYSICIAN PARTNER)
Authorized Official Telephone 5024515955
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 37462 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 65939753 05

Office Location

Street Address 1603 STEVENS AVE
City LOUISVILLE
State KY
Zip Code 40205-1042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639158207 Kathy A Nieder Family Medicine 1603 Stevens Ave, Louisville, KY 40205-1087 2006-01-12
1659893774 Jennifer J Caskey Nurse Practitioner 1603 Stevens Ave, Louisville, KY 40205-1087 2017-07-11
1770901712 Amelia Rose Nordmann Wantland Family Medicine 1603 Stevens Ave, Louisville, KY 40205-1087 2014-04-06
1700933017 Terry Weiss Family Medicine 1603 Stevens Ave, Louisville, KY 40205-1087 2007-01-05
1568529881 Catherine Hammond Family Medicine 1603 Stevens Ave, Louisville, KY 40205 2007-01-03
1790867943 Lisa Senavinin Powell Psychologist 1603 Stevens Ave, Suite 203, Louisville, KY 40205-1042 2006-10-19
1982640603 Susan D Jewell Nurse Practitioner 1603 Stevens Ave, Louisville, KY 40205-1087 2006-06-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558844027 Arthur James Shulthise Jr. Family Medicine Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 2018-09-11
1609392133 Leah Elizabeth Storch Occupational Therapist 2231 Wendell Ave, Louisville, KY 40205 2017-08-16
1437679842 Michael Edward Lovelace Family Medicine 1800 Stevens Avenue, Louisville, KY 40205 2017-06-27
1699205328 Nathaniel George Kennedy Physician Assistant 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 2017-06-14
1225584972 Kalpana Bhaskar Pharmacist 3036 Bardstown Road, Louisville, KY 40205 2016-08-31
1013398627 William Wood Hearing Instrument Specialist 2239 Bardstown Rd., Louisville, KY 40205 2015-06-10
1811306707 Alaina Rotelli Pharmacist 2100 Gardiner Lane, Louisville, KY 40205 2014-08-05
1013325760 Jaime Alexandra Seelmeyer Counselor 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 2014-07-25
1992009336 Priscilla Freeman Case Manager/Care Coordinator 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 2010-12-28
1457501413 Amanda Christine Voils-levenda Psychologist 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 2008-09-26
Find all providers in zip 40205

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LOUISVILLE
Zip Code 40205

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Dataset Information

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.

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