GARY F BLOEMER (NPI# 1104884550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104884550 |
| Entity Type | Individual |
| Full Name | GARY F BLOEMER |
| Credential | M.D. |
| Practice Address |
3 Audubon Plaza Dr Suite 430 Louisville KY 40217-1300 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5025889490 |
| Practice Fax Number | 5022725116 |
| Mailing Telephone | 5026364900 |
| Mailing Fax Number | 5026364901 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2017-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 22975 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NOS/SIHO | 110585 | 01 | |
| NOS/PAD | 3759068000 | 01 | |
| NOS/HUMANA | 000052152W | 01 | |
| NOS/CIGNA | 1944985 | 01 | |
| KY | PASSPORT HEALTH PLAN | 1050981 | 01 |
| NOS/PHP | 50027006 | 01 | |
| KY | ANTHEM BCBS | 000000062049 | 01 |
| NOS/ANTHEM | 000000642552 | 01 | |
| KY | PASSPORT/ NOS | 50027006 | 01 |
| KY | 64229750 | 05 |
| Street Address |
3 AUDUBON PLAZA DR SUITE 430 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40217-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597740 | John Lawrence Nehil | Orthopaedic Surgery | 3 Audubon Plaza Dr, Ste 640, Louisville, KY 40217-1362 | 2005-06-09 |
| 1336689827 | Anna Katherine Chumbley | Nurse Practitioner | 3 Audubon Plaza Dr, Louisville, KY 40217-1319 | 2017-03-02 |
| 1821469081 | Kenneth Louis Becht Jr. | Nurse Practitioner | 3 Audubon Plaza Dr, Suite 220, Louisville, KY 40217-1300 | 2015-10-14 |
| 1972989267 | Stacey L Kelley | Nurse Practitioner | 3 Audubon Plaza Dr, Ste 560, Louisville, KY 40217-1300 | 2015-08-10 |
| 1912383480 | Sydney R Newton | Nurse Practitioner | 3 Audubon Plaza Dr, Suite 630, Louisville, KY 40217-1300 | 2015-08-06 |
| 1992195242 | Kyle Nauert | Nurse Practitioner | 3 Audubon Plaza Dr, Ste. 560, Louisville, KY 40217-1300 | 2015-01-26 |
| 1811391469 | Sarah E Zanger | Physician Assistant | 3 Audubon Plaza Dr, Suite Ll-2, Louisville, KY 40217-1300 | 2014-10-10 |
| 1548669641 | Matthew C Bartram | Physician Assistant | 3 Audubon Plaza Dr, Suite 560, Louisville, KY 40217-1300 | 2014-08-14 |
| 1942614987 | Courtney R Hamm | Physician Assistant | 3 Audubon Plaza Dr, Suite 530, Louisville, KY 40217-1300 | 2014-06-18 |
| 1982961322 | Paul A. Rafson, M.d. | Surgery | 3 Audubon Plaza Dr, Suite 230, Louisville, KY 40217-1300 | 2012-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720564016 | Kaela Marie Turley | Nurse Practitioner | 2355 Poplar Level Rd Ste 405, Louisville, KY 40217 | 2018-07-19 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1386185437 | Meredith Brooke Ervin | Counselor | 1169 Eastern Pkwy Ste 3310, Louisville, KY 40217 | 2017-03-08 |
| 1437507621 | Kendra Pickerill | Speech-Language Pathologist | 906 Delor Avenue, Louisville, KY 40217 | 2016-05-27 |
| 1275947186 | Gary Muncy | Massage Therapist | 607 East Brandeis Ave, Louisville, KY 40217 | 2014-06-18 |
| 1912318791 | Stacey Charlotte Elmes | Case Manager/Care Coordinator | 2338 Alexanderave, Louisville, KY 40217 | 2014-05-14 |
| 1275819831 | April Mecasha Cox | Pharmacist | 808 Eastern Parkway, Louisville, KY 40217 | 2011-10-27 |
| 1831346204 | Nikki Renee Wilson | Registered Nurse | 1169 Eastern Pkwy Ste 1226, Louisville, KY 40217 | 2008-08-27 |
| 1497925440 | Sarah Beth Murrow | Chiropractor | 1100 Milton St, Louisville, KY 40217 | 2008-03-06 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| Find all providers in zip 40217 | ||||
| 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 |
|---|---|---|---|---|
| 1790322170 | Louisville Spine Institute LLC | Orthopaedic Surgery | 6500 Glenridge Park Pl Ste 9, Louisville, KY 40222-3450 | 2019-12-05 |
| 1679077531 | Travis Parkulo | Orthopaedic Surgery | 550 South Jackson Street 1st Floor Acb, Louisville, KY 40292-1219 | 2018-03-23 |
| 1730425208 | Norwood Kaye Ford Jr. | Orthopaedic Surgery | 7804 Creekbottom Rd, Louisville, KY 40241-5507 | 2013-01-02 |
| 1700148483 | Kenneth Saad Chakour | Orthopaedic Surgery | 550 South Jackson Street, 1st Floor, Ambulatory Care Building, Louisville, KY 40292 | 2012-06-08 |
| 1962769257 | Victor Fehrenbacher | Orthopaedic Surgery | 9880 Angies Way Ste 230, Louisville, KY 40241 | 2012-04-12 |
| 1376860239 | Gb Family Corp | Orthopaedic Surgery | 400 W Market St Ste 1800, Louisville, KY 40202-3362 | 2010-04-30 |
| 1740506534 | Lonnie Rhea Douglas | Orthopaedic Surgery | 1277 Springdale Dr, Louisville, KY 40213-1736 | 2010-04-19 |
| 1376797985 | Peter T. Kirsch | Orthopaedic Surgery | 8003 Vine Crest Ave, Unit 12, Louisville, KY 40222-4695 | 2008-11-10 |
| 1316196975 | Nyagon G. Duany | Orthopaedic Surgery | 210 E Gray St Ste 604, Louisville, KY 40202-3902 | 2008-09-18 |
| 1215123138 | Jeffrey Nagy Fadel | Orthopaedic Surgery | 2932 Breckenridge Ln Ste 1, Louisville, KY 40220-1409 | 2007-09-25 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40217 |
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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.