DR. JESSICA RUTH STUMBO (NPI# 1144434424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144434424 |
| Entity Type | Individual |
| Full Name | DR. JESSICA RUTH STUMBO |
| Credential | M.D. |
| Practice Address |
215 Central Ave Ste. 110 Louisville KY 40208-1449 |
| Mailing Address |
501 E Broadway Ste. 290 Louisville KY 40202-1785 |
| Practice Telephone | 5028525205 |
| Practice Fax Number | 5028525405 |
| Mailing Telephone | 5022178221 |
| Mailing Fax Number | 5022175056 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 39532 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
39532 | KY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 39532 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100061440 | 05 | |
| IN | 200910080 | 05 |
| Street Address |
215 CENTRAL AVE STE. 110 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40208-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804800 | David John Doukas | Family Medicine | 215 Central Ave, Suite 100, Louisville, KY 40208-1418 | 2005-07-13 |
| 1205484029 | Taylor Zuberer | Emergency Medicine | 215 Central Ave, Louisville, KY 40208-1449 | 2019-08-27 |
| 1730641176 | Meghane Eliane Masquelin | Student in an Organized Health Care Education/Training Program | 215 Central Ave, Louisville, KY 40208-1449 | 2019-04-04 |
| 1467812909 | Ryleigh Cunningham | Specialist/Technologist | 215 Central Ave, Louisville, KY 40208-1449 | 2016-02-25 |
| 1326451170 | Gregory Michael Kress | Specialist/Technologist | 215 Central Ave, Suite 200, Louisville, KY 40208-1449 | 2014-06-10 |
| 1497186647 | University of Louisville Research Foundation Inc. | Physician Assistant | 215 Central Ave, Suite 100, Louisville, KY 40208-1449 | 2013-12-12 |
| 1396176541 | University of Louisville Research Foundation | Family Medicine | 215 Central Ave, Suite 200, Louisville, KY 40208-1449 | 2013-12-12 |
| 1588095723 | University of Louisville Research Foundation | Family Medicine | 215 Central Ave, Suite 205, Louisville, KY 40208-1449 | 2013-12-12 |
| 1295092963 | University Pediatrics Foundation, Inc. | Allergy & Immunology | 215 Central Ave, Ste. 205, Louisville, KY 40208-1449 | 2012-04-18 |
| 1700142429 | University of Louisville Research Foundation | Internal Medicine | 215 Central Ave, Suite 102, Louisville, KY 40208-1449 | 2012-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447784764 | Emmanuel Nwaogu | Nurse Practitioner | 720 West Hill St, Norton Louisville Primary Care, Louisville, KY 40208 | 2017-04-13 |
| 1295277226 | Ausi Transort, LLC | Non-emergency Medical Transport (VAN) | 1907-c S 4th St, Louisville, KY 40208 | 2016-11-08 |
| 1962954198 | Daniel Thomas | Specialist/Technologist | 1514 Central Avenue, Louisville, KY 40208 | 2016-11-04 |
| 1720321185 | Moiz Ahmad Khan | Student in an Organized Health Care Education/Training Program | 619 Montana Ave, Louisville, KY 40208 | 2013-04-03 |
| 1831140771 | Rebecca P Pirkle | Nurse Practitioner | 215 Central Station, 102, Louisville, KY 40208 | 2006-05-15 |
| 1689231375 | Jennifer Hofelich | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2019-05-29 |
| 1902283609 | Ashley Mefford Iles | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-05-01 |
| 1063808137 | Sean Warren | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-04-15 |
| 1962892125 | Catherine Leigh Stone | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2015-01-27 |
| 1659636199 | Robbie Brewer Blair | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2012-07-11 |
| Find all providers in zip 40208 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336853 | Orthocincy | Internal Medicine | 2626 Alexandria Pike Ste 100, Highland Heights, KY 41076-1530 | 2020-01-30 |
| City | LOUISVILLE |
| Zip Code | 40208 |
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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.