DR. JOHN RUSSELL GLEASON JR. (NPI# 1215931159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215931159 |
| Entity Type | Individual |
| Full Name | DR. JOHN RUSSELL GLEASON JR. |
| Credential | MD |
| Practice Address |
6400 Dutchmans Pkwy Ste 250 Louisville KY 40205-3340 |
| Practice Telephone | 5025879660 |
| Practice Fax Number | 5025405615 |
| Mailing Telephone | 5025879660 |
| Mailing Fax Number | 5025405615 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2007-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
25233 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000062784 | 01 |
| KY | 64252331 | 05 | |
| KY | PASSPORT | 1050705 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295744654 | John Robert Gleason | Counselor | 187 Saint Paul St, Burlington, VT 05401-4689 | 2006-08-05 |
| 1871534750 | John Paul Gleason | Pediatrics | 143 Canal St, Ste 500, Pooler, GA 31322-6007 | 2006-06-09 |
| 1760043590 | John Gleason Jr. | Social Worker | 2960 Post Rd, Southport, CT 06890-1268 | 2019-06-24 |
| 1457591539 | John Francis Gleason Jr. | Radiology | 1 Hospital Dr Sw, Suite 100, Huntsville, AL 35801-6455 | 2009-03-02 |
| 1578680302 | John Douglas Gleason | Radiology | 1001 Sam Perry Blvd, Radiologic Associates of Fredericksburg, Fredericksburg, VA 22401-4453 | 2007-03-25 |
| 1922095322 | John R. Gleason | Orthopaedic Surgery | 5671 Peachtree Dunwoody Rd Ne, Suite 900, Atlanta, GA 30342-5000 | 2005-09-30 |
| 1912990532 | John R Gleason | Family Medicine | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2005-08-30 |
| Street Address |
6400 DUTCHMANS PKWY STE 250 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40205-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586711 | Robert A Todd | Psychiatry & Neurology | 6400 Dutchmans Pkwy, Ste 331, Louisville, KY 40205-3340 | 2005-05-23 |
| 1497213185 | Stephanie Brooke Huff | Nurse Practitioner | 6400 Dutchmans Pkwy, Louisville, KY 40205-3340 | 2019-03-12 |
| 1750753000 | Holly G Stull | Nurse Practitioner | 6400 Dutchmans Pkwy, Suite 250, Louisville, KY 40205-3340 | 2015-10-27 |
| 1750750352 | Kelly Effinger | Nurse Practitioner | 6400 Dutchmans Pkwy, Suite 250, Louisville, KY 40205-3340 | 2015-09-24 |
| 1376929414 | Ashton Curry | Physical Therapist | 6400 Dutchmans Pkwy, Suite 20, Louisville, KY 40205-3340 | 2015-07-30 |
| 1376922054 | Stephanie Marie Harkness | Nurse Practitioner | 6400 Dutchmans Pkwy, Ste 250, Louisville, KY 40205-3354 | 2015-05-27 |
| 1801284328 | Vivian L Whitehead | Nurse Practitioner | 6400 Dutchmans Pkwy, Suite 300, Louisville, KY 40205-3340 | 2015-01-06 |
| 1366843427 | Susan Gail Cahill | Nurse Practitioner | 6400 Dutchmans Pkwy, Suite 250, Louisville, KY 40205-3354 | 2014-09-09 |
| 1073912309 | Kristina Leigh Dawson | Nurse Practitioner | 6400 Dutchmans Pkwy, Suite 250, Louisville, KY 40205-3354 | 2014-08-22 |
| 1265831507 | Karri Cambron | Nurse Practitioner | 6400 Dutchmans Pkwy, Louisville, KY 40205-3340 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1609392133 | Leah Elizabeth Storch | Occupational Therapist | 2231 Wendell Ave, Louisville, KY 40205 | 2017-08-16 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1699205328 | Nathaniel George Kennedy | Physician Assistant | 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 | 2017-06-14 |
| 1225584972 | Kalpana Bhaskar | Pharmacist | 3036 Bardstown Road, Louisville, KY 40205 | 2016-08-31 |
| 1013398627 | William Wood | Hearing Instrument Specialist | 2239 Bardstown Rd., Louisville, KY 40205 | 2015-06-10 |
| 1811306707 | Alaina Rotelli | Pharmacist | 2100 Gardiner Lane, Louisville, KY 40205 | 2014-08-05 |
| 1013325760 | Jaime Alexandra Seelmeyer | Counselor | 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 | 2014-07-25 |
| 1992009336 | Priscilla Freeman | Case Manager/Care Coordinator | 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 | 2010-12-28 |
| 1457501413 | Amanda Christine Voils-levenda | Psychologist | 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 | 2008-09-26 |
| Find all providers in zip 40205 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1881887685 | Hania Kassem | Internal Medicine | 716 W. Broadway, Louisville, KY 40202-2216 | 2007-08-24 |
| 1245443555 | Vibha S Nayak | Internal Medicine | 3813 Zaring Mill Cir, Louisville, KY 40241-3037 | 2007-05-07 |
| 1659402287 | Dawn Jaclyn Caster | Internal Medicine | 401 E Chestnut St Unit 690, Louisville, KY 40202-5706 | 2007-03-07 |
| 1699754655 | Bhagwan Bhimani | Internal Medicine | 234 East Gray Street, Suite 858, Louisville, KY 40202-1715 | 2006-01-10 |
| 1043291081 | Khurram Nazeer | Internal Medicine | 234 East Gray, Suite 858, Louisville, KY 40202-1715 | 2005-11-08 |
| 1467456384 | Sanford Todd Reikes | Internal Medicine | 200 E Chestnut St, Louisville, KY 40202-1831 | 2005-06-09 |
| 1033578612 | Louisville Kidney Care | Internal Medicine | 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 2016-02-11 |
| 1437494291 | Sultana Faiyaz Corporation, LLC | Internal Medicine | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2012-12-05 |
| 1760747430 | Karthikeyan Venkatachalam | Internal Medicine | 401 E Chestnut St Unit 690, Louisville, KY 40202-5706 | 2012-07-09 |
| 1679839393 | University of Louisville Physicians, Inc | Internal Medicine | 615 S Preston St, Louisville, KY 40202-1715 | 2012-04-06 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40205 |
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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.