TYLER KOESTNER (NPI# 1053739284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053739284 |
| Entity Type | Individual |
| Full Name | TYLER KOESTNER |
| Practice Address |
800 Rose St Lexington KY 40536-2104 |
| Mailing Address |
911 Hillsboro Rd Franklin TN 37064-2015 |
| Practice Telephone | 8593236013 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
53846 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 960 E 3rd St, Suite 104, Chattanooga, TN 374032104 | 4237787695 |
| Street Address |
800 ROSE ST |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560322 | Reinhold Munker | Internal Medicine | 800 Rose St, Lexington, KY 40536-4228 | 2005-07-07 |
| 1265032825 | Morgan Rose Grantham | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-31 |
| 1205436342 | Corrie Lyn Baumer | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-28 |
| 1053919779 | Timothy Burton | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-14 |
| 1588262307 | Adam Sieg | Pharmacist | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-14 |
| 1255939351 | Brittany Monroe | Registered Nurse | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-12 |
| 1477150365 | Pearl Elizabeth Peterson | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-05 |
| 1093322745 | Katie Lynn Rust | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| 1558978221 | Michele Lee Bodine | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| 1184231839 | Jennifer Gene Bauman | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295827921 | Joseph B Zwischenberger | Surgery | 800 Rose Street, Mn264, University of Kentucky, Department of Surgery, Lexington, KY 40536-0298 | 2006-09-29 |
| 1205270196 | William Frederick Weber Iv | Surgery | 800 Rose St, Lexington, KY 40536-0001 | 2013-04-22 |
| 1629336938 | Mohannad Talal Hemdi | Surgery | University of Kentucky, 800 Rose Street, Lexington, KY 40536-0293 | 2012-04-25 |
| 1508815796 | Bernard Roger Boulanger | Surgery | 740 South Limestone, Lexington, KY 40536-0001 | 2006-05-08 |
| 1851340756 | Paul A Kearney | Surgery | 740 South Limestone, Lexington, KY 40536-0001 | 2006-05-08 |
| 1841255924 | Timothy Mullett | Surgery | 740 South Limestone, Lexington, KY 40536-0001 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952578593 | Steven Snodgrass | Surgery | 996 Wilkinson Trace, Suite B 3, Bowling Green, KY 42103 | 2008-05-13 |
| 1558533687 | Matthew Cameron Bozeman | Surgery | 401 E Chestnut St, Ste 710, Louisville, KY 40202 | 2008-03-28 |
| 1083750681 | Aaron Lee Brown | Surgery | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2007-01-30 |
| 1407890015 | Ronald J Kembro | Surgery | 650 Joel Dr, Attn: General Surgery, Fort Campbell, KY 42223-5318 | 2006-06-15 |
| 1619947496 | J David Richardson | Surgery | 401 E Chestnut St, Suite 710, Louisville, KY 40202-5700 | 2006-01-25 |
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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.