KETAN C MEHTA


Address: 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721
Phone: 5028962500

KETAN C MEHTA (NPI# 1144298316) 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) 1144298316
Entity Type Individual
Full Name KETAN C MEHTA
Credential M.D.
Practice Address 4123 Dutchmans Ln Ste 301
Louisville
KY 40207-4721
Mailing Address Po Box 776351
Chicago
IL 60677-6351
Practice Telephone 5028962500
Practice Fax Number 5028962527
Mailing Telephone 5025889490
Mailing Fax Number 5022725116
Enumeration Date 2006-03-14
Last Update Date 2019-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
35280 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 64957509 05
KY ANTHEM- KCNS 000000744506 01
IN 200308050 05
KY PASSPORT- KCNS 50035400 01

Other Providers KETAN MEHTA

NPI Name Taxonomy Address Enumeration
1992293849 Ketan Mehta Student in an Organized Health Care Education/Training Program 2001 W 68th St Ste 202, Hialeah, FL 33016-1898 2018-04-26
1184124687 Ketan Mehta General Practice 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 2018-02-20
1942331608 Ketan C Mehta Specialist 3867 Montgomery Dr, Santa Rosa, CA 95405-5244 2007-03-07

Office Location

Street Address 4123 DUTCHMANS LN STE 301
City LOUISVILLE
State KY
Zip Code 40207-4721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275167629 Jennifer L Kiel Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2020-02-25
1710523634 Emily Michelle Anguiano Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2019-11-26
1063055002 Synthia Heffernan Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2019-10-22
1003310921 Stephanie Rae Kelty Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207 2018-03-23
1235630039 Kimberly Dawn Walker Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2018-02-27
1013433366 Mary Kathleen Lanoue Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2017-08-18
1699137729 Kyle Hawkins Pediatrics 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2016-03-28
1316323900 Sherri Lynn Lammerding Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2015-08-05
1871910331 Kayla Nicole Evans-judd Pediatrics 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2014-03-23
1487953675 Shannon Kelly Evans Pediatrics 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2011-03-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780212688 Alexia Louise Bodamer Student in an Organized Health Care Education/Training Program 142 Chenoweth Lane, Lousiville, KY 40207 2020-03-28
1467918664 Amy Rock LLC Counselor 4010 Dupont Cir Ste 307, Louisville, KY 40207 2019-02-13
1649745191 Louisville Optometric Center, IIi, Psc Optometrist 285 Hubbards Lane, Suite 300, Louisville, KY 40207 2018-10-11
1184137440 Crimson Dove Counseling Services Inc Community/Behavioral Health 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 2017-11-09
1285157586 Dickerson Family Enterprise, LLC Non-emergency Medical Transport (VAN) 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 2017-07-19
1578085296 Cardiovascular Medical Specialists LLC Surgery 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 2017-07-14
1932636305 Devon Turley Prevention Professional 1017 Dupont Rd, Suite 1, Louisville, KY 40207 2017-05-17
1285095539 Emily Schwartz Crouch Marriage & Family Therapist 4010 Dupont Circle, Suite 582, Louisville, KY 40207 2016-03-15
1306201280 A A and Associates Approved Alcohol/drug Program Counselor 4006 Dutchmans Lane, Louisville, KY 40207 2015-12-21
1629433693 Jewish Hospital and St. Mary's Healthcare, Inc. General Acute Care Hospital 3290 Dutchmans Lane, Louisville, KY 40207 2015-12-17
Find all providers in zip 40207

Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265996961 Rebecca Decker Pediatrics 571 S Floyd St Ste 342, Louisville, KY 40202-3816 2019-01-27
1265676142 Hannah Fischer Pediatrics 571 South Floyd Strret, Ste 342, Louisville, KY 40202 2009-04-23
1730219395 Saify Abbasi Pediatrics 3170 Running Deer Cir, Louisville, KY 40241-6566 2007-03-06
1972693851 Neonatal Associates Pediatrics 601 S Floyd, Ste 804, Louisville, KY 40202 2006-10-13
1427040443 Scott D Duncan Pediatrics 411 E Chestnut St # 2, Louisville, KY 40202-1713 2005-08-16
1801896592 Karen W Bibb Pediatrics 571 S Floyd St, Suite 342, Louisville, KY 40202-3818 2005-07-26
1114527520 Sheridan Childrens Healthcare Services of Colorado PC Pediatrics 100 Health Park Dr, Louisville, CO 80027-9583 2020-10-27
1659637338 University of Louisville Physicians, Inc. Pediatrics 601 S Floyd St, Suite 804, Louisville, KY 40202-1835 2012-04-06
1215293949 University of Louisivlle Research Foundation Pediatrics 601 S Floyd St, Suite 801, Louisville, KY 40202-1835 2012-04-06
1811262934 University of Louisville Research Foundation Pediatrics 601 S Floyd St, Suite 804, Louisville, KY 40202-1835 2012-03-22
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40207

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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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