DANIEL DIERFELDT (NPI# 1114211422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114211422 |
Entity Type | Individual |
Full Name | DANIEL DIERFELDT |
Credential | D.O. |
Practice Address |
401 E Chestnut St Unit 310 Louisville KY 40202-5703 |
Mailing Address |
Po Box 909 Louisville KY 40201-0909 |
Practice Telephone | 5025896788 |
Practice Fax Number | 5025895093 |
Mailing Telephone | 5025896788 |
Mailing Fax Number | 5025895093 |
Enumeration Date | 2011-06-03 |
Last Update Date | 2020-05-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 04544 | KY | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 125.059121 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100607570 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
180 S 3rd St, Belleville, IL 622201952 | 6182337880 | 6182224792 |
Street Address |
401 E CHESTNUT ST UNIT 310 |
City | LOUISVILLE |
State | KY |
Zip Code | 40202-5703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093718074 | Charlene Kay Mitchell | Internal Medicine | 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 | 2005-05-24 |
1184191462 | Kandace Kae Vanhoozer | Nurse Practitioner | 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 | 2018-10-25 |
1801396114 | Latashia Vonshay Griffith | Licensed Practical Nurse | 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 | 2018-02-14 |
1447768734 | Lindsey R Senn | Nurse Practitioner | 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 | 2018-01-20 |
1720505639 | Elizabeth Marie Herrington | Nurse Practitioner | 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 | 2017-08-23 |
1316468820 | Kelly Ann Cooper | Nurse Practitioner | 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 | 2017-07-06 |
1669993259 | Jessy Abi Mathews | Nurse Practitioner | 401 E Chestnut St Unit 310, Louisville, KY 40202 | 2017-07-05 |
1891229175 | Samuel Benjamin Reynolds | Internal Medicine | 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 | 2017-04-13 |
1477086387 | William Tyler Smith | Internal Medicine | 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 | 2017-04-07 |
1467985432 | Sara Sadeghi Ellingwood | Internal Medicine | 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 | 2017-04-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
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 |
Find all providers in zip 40202 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
City | LOUISVILLE |
Zip Code | 40202 |
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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.