BRIAN T PRZYSTAWSKI, DPM, PCS (NPI# 1164512612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164512612 |
| Entity Type | Organization |
| Organization Name | BRIAN T PRZYSTAWSKI, DPM, PCS |
| Practice Address |
4119 Browns Lane Bld#2 Louisville KY 40220 |
| Mailing Address |
Po Box 708 Prospect KY 40059-0708 |
| Practice Telephone | 5028953840 |
| Practice Fax Number | 5028973642 |
| Mailing Telephone | 5028953840 |
| Mailing Fax Number | 5028973642 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-09-27 |
| Authorized Official Name | DR. BRIAN T PRZYSTAWSKI (OWNER) |
| Authorized Official Telephone | 5028953840 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
========= | KY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 80900202 | 05 | |
| KY | 50003493 | 05 |
| Street Address |
4119 BROWNS LANE BLD#2 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502560 | Louis James Walker IIi | Physical Therapist | 8904 Elks Bluff Drive, Unit 02206, Apt 206, Louisville, KY 40220 | 2020-09-10 |
| 1396207148 | Kristan Shay Swindler | Specialist/Technologist, Other | 3008 Furman Blvd., Louisville, KY 40220 | 2019-04-02 |
| 1033686191 | Reine Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3405 Breckenridge Lane, Louisville, KY 40220 | 2018-10-26 |
| 1053828145 | Angelique Marie Leist | Registered Nurse | 3103 Breckenridge Ln Ste 1, Louisville, KY 40220 | 2018-01-10 |
| 1811413925 | Virginia Zimlich | Physical Therapist | 2807 Alice Ave, Louisville, KY 40220 | 2017-08-21 |
| 1255860649 | Susan Marie Elder | Registered Nurse | 2816 Esther Blvd, Louisville, KY 40220 | 2017-06-08 |
| 1215300611 | Katie Kipfer | Day Training/Habilitation Specialist | 3902 Graf Drive, Louisville, KY 40220 | 2015-11-06 |
| 1639547987 | Meghan Hillerich | Home Health | 13 Canterbury Drive, Louisville, KY 40220 | 2015-09-03 |
| 1376921098 | Dental Services of Kentucky, Psc | Dentist | 3946 Taylorsville Rd., Louisville, KY 40220 | 2015-05-14 |
| 1093103574 | Joann Bartolone Murphy | Developmental Therapist | 3717 Taylorsville Rd., Louisville, KY 40220 | 2015-01-06 |
| Find all providers in zip 40220 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821651852 | Sports Medicine Surgical Specialists Pllc | Podiatrist | 309 Guthrie St, Louisville, KY 40202-1813 | 2019-04-16 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1811423460 | Jillian Allison Teslow Rickertsen | Podiatrist | 734 W Main St Ste 100, Louisville, KY 40202-3687 | 2017-05-02 |
| 1992239214 | Nathaniel Winters | Podiatrist | 6801 Dixie Hwy Ste 134, Louisville, KY 40258-3952 | 2017-04-13 |
| 1992188437 | Brett P Vessell | Podiatrist | 4119 Browns Ln Ste 2, Louisville, KY 40220-1500 | 2015-07-01 |
| 1629286257 | Adam Alexander Didyk | Podiatrist | 13105 Eastpoint Park Blvd, Louisville, KY 40223 | 2007-05-18 |
| 1699803270 | Gerardo Ulfe | Podiatrist | 317b Guthrie Grn, Louisville, KY 40202 | 2007-03-02 |
| 1821023250 | Judy Nonglak Outsa | Podiatrist | 6407 Preston Hwy, Suite #1, Louisville, KY 40219-1850 | 2006-07-12 |
| 1053353607 | Rhonda A Eichenberger | Podiatrist | 9900 Shelbyville Rd Ste 11a, Louisville, KY 40223-2965 | 2006-06-11 |
| 1023057072 | Podiatric Physicians of Kentucky, Psc | Podiatrist | 9110 Leesgate Road, Louisville, KY 40222 | 2006-06-05 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40220 |
Please comment or provide details below to improve the information on BRIAN T PRZYSTAWSKI, DPM, PCS.
| 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.