DR. DOUGLAS M ACKERMANN (NPI# 1265454474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265454474 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS M ACKERMANN |
| Credential | MD |
| Practice Address |
200 Abraham Flexner Way Pathology Dept Louisville KY 40202-1818 |
| Mailing Address |
1169 Eastern Pkwy Suite G 71 Louisville KY 40217-1417 |
| Practice Telephone | 5025874330 |
| Practice Fax Number | 5025874161 |
| Mailing Telephone | 5024588661 |
| Mailing Fax Number | 5024564440 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
22257 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64222573 | 05 | |
| UNITED HEALTHCARE | 1100338 | 01 | |
| KY | ANTHEM BLUE CROSS BS | 000000253063 | 01 |
| WV | 0199463000 | 05 | |
| IN | 200031050A | 05 | |
| RAILROAD MEDICARE | 220033467 | 01 | |
| CIGNA HEALTHCARE | 0956501 | 01 | |
| KY | PASSPORT MEDICAID | 1169937 | 01 |
| Street Address |
200 ABRAHAM FLEXNER WAY PATHOLOGY DEPT |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889409 | Justin Warren Smith | Registered Nurse | 200 Abraham Flexner Way, Louisville, KY 40202 | 2005-05-27 |
| 1063037687 | Seth Lloyd Stewart | Nurse Anesthetist, Certified Registered | 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 2020-06-09 |
| 1003443540 | Erica Shireman | Registered Nurse | 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 2020-03-25 |
| 1639711294 | Uofl Health-louisville Inc | Rehabilitation Unit | 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 2019-10-15 |
| 1457901738 | Kristina Christmas | Nurse Practitioner | 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 2019-09-18 |
| 1417504143 | Natalie Frances Duffy | Physician Assistant | 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 2019-08-19 |
| 1174189369 | Zachery Weyandt | Student in an Organized Health Care Education/Training Program | 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 2019-05-14 |
| 1447815832 | Walter Payne Jr. | General Acute Care Hospital | 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 2019-05-01 |
| 1053801019 | William Ottis Mcglone IIi | Podiatrist | 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 2018-05-15 |
| 1134618705 | Nicholas John Laco | General Acute Care Hospital | 200 Abraham Flexner Way, Louisville, KY 40202 | 2018-05-08 |
| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265889372 | Alfred Bennett Jenson | Pathology | 2307 River Road, Suite 101, Louisville, KY 40206-5000 | 2016-05-18 |
| 1104104801 | Lawrence Harold Boram | Pathology | 1918 Charbdin Pl, Louisville, KY 40207-1678 | 2011-07-28 |
| 1639482748 | Lauren Lippincott | Pathology | 10511 La Grange Rd, Louisville, KY 40223-1277 | 2010-07-17 |
| 1487798666 | Nadiya Babar Shafi | Pathology | 7415 Steeplecrest Cir, Apt 100, Louisville, KY 40222-9084 | 2007-02-19 |
| 1508904996 | Robin Kimberly Johnson | Pathology | 1603 Norris Pl, Louisville, KY 40205-1227 | 2007-02-01 |
| 1598863805 | James H Meyers | Pathology | 4500 Conaem Dr, Louisville, KY 40213-1961 | 2006-09-20 |
| 1053344606 | Robert A Zaring | Pathology | 4000 Kresge Way Ste P1503, Louisville, KY 40207 | 2006-07-08 |
| 1023095833 | William Byron Lockwood | Pathology | 530 S. Jackson St, Louisville, KY 40202 | 2005-12-22 |
| 1245233626 | Alexandra Gerassimides | Pathology | 231 E Chestnut St, Pathology Dept, Louisville, KY 40202-1821 | 2005-05-31 |
| 1730731902 | Ali Ismail | Pathology | 550 S Jackson St # A1e17, Louisville, KY 40202-1622 | 2019-07-09 |
| 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.