CHRISTOPHER LARS JOHNSRUDE (NPI# 1336144401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336144401 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER LARS JOHNSRUDE |
| Credential | MD |
| Practice Address |
411 E Chestnut St # 5a Louisville KY 40202-1713 |
| Mailing Address |
Po Box 776879 Chicago IL 60677-6879 |
| Practice Telephone | 5025887450 |
| Practice Fax Number | 5025887728 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
37041 | KY | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
37041 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200114610A | 05 | |
| KY | 64047947 | 05 |
| Street Address |
411 E CHESTNUT ST # 5A |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809914 | Brittany Ann Black | Nurse Practitioner | 411 E Chestnut St # 5a, Louisville, KY 40202-1713 | 2020-04-07 |
| 1750912036 | Rebecca Anne Smith | Nurse Practitioner | 411 E Chestnut St # 5a, Louisville, KY 40202-1713 | 2020-01-27 |
| 1780214825 | Rachael C Koebel | Nurse Practitioner | 411 E Chestnut St # 5a, Louisville, KY 40202-1713 | 2020-01-16 |
| 1407324221 | Mary Theresa Massey | Nurse Practitioner | 411 E Chestnut St # 5a, Louisville, KY 40202-1713 | 2018-11-09 |
| 1285172478 | Robin Weller | Dietitian, Registered | 411 E Chestnut St # 5a, Louisville, KY 40202-1713 | 2017-02-07 |
| 1528514163 | Denisha Oggs | Social Worker | 411 E Chestnut St # 5a, Louisville, KY 40202-1713 | 2016-09-01 |
| 1427432285 | Chandra Vethody | Internal Medicine | 411 E Chestnut St # 5a, Louisville, KY 40202-1713 | 2015-07-11 |
| 1942621230 | Kyle Ann Combs | Nurse Practitioner | 411 E Chestnut St # 5a, Louisville, KY 40202-1713 | 2014-01-03 |
| 1881936144 | Joshua David Kurtz | Pediatrics | 411 E Chestnut St # 5a, Louisville, KY 40202-1713 | 2013-03-25 |
| 1972879922 | Syeda Sidra Maqsood | Pediatrics | 411 E Chestnut St # 5a, Louisville, KY 40202-1713 | 2012-03-23 |
| 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 | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1285622779 | Cardiac Care Center of Louisville, Pllc | Internal Medicine | 100 Mallard Creek Rd, Suite 150, Louisville, KY 40207-4194 | 2005-10-10 |
| 1790941367 | Kelvin Cheukhang Lau | Internal Medicine | 601 S Floyd St, Suite 602, Louisville, KY 40202-1845 | 2008-08-04 |
| 1710181037 | Cardiac Care Center of Louisville | Internal Medicine | 720 W Hill St, Louisville, KY 40208-2216 | 2007-06-12 |
| 1689885782 | Medical Center Cardiologists, Psc | Internal Medicine | 400 Executive Park, Louisville, KY 40207-4204 | 2007-05-24 |
| 1760692107 | Cardiac Care Center of Louisville, Pllc | Internal Medicine | 225 Abraham Flexner Way, Suite 305, Louisville, KY 40202-1846 | 2007-05-23 |
| 1740490192 | Cardiac Care Center of Louisville, Pllc | Internal Medicine | 100 Mallard Creek Rd, Suite 390, Louisville, KY 40207-4194 | 2007-05-23 |
| 1043429871 | Medical Center Cardiologists, Psc | Internal Medicine | 100 Mallard Creek Rd, Suite 390, Louisville, KY 40207-4194 | 2007-05-21 |
| 1912947946 | Robert A Schwartz | Internal Medicine | 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | 2006-06-07 |
| 1225087612 | Rajdeep S. Gaitonde | Internal Medicine | 225 Abraham Flexner Way, Suite 305, Louisville, KY 40202-1882 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689837353 | Ola Khraisha | Internal Medicine | 613 23rd St St 230, Ashland, KY 41101 | 2008-07-03 |
| 1407065279 | Medical Center Cardiologists, Psc | Internal Medicine | 534 Fairway Dr, Brandenburg, KY 40108-1222 | 2007-05-21 |
| 1538100995 | Ohio Valley Heartcare Inc | Internal Medicine | 914 N Elm St, Henderson, KY 42420-2711 | 2006-06-09 |
| 1841763380 | Deaconess Specialty Physicians, Inc | Internal Medicine | 3346 Professional Park, Owensboro, KY 42303-4551 | 2019-01-08 |
| 1124522750 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788 | 2018-03-20 |
| 1114421740 | Deaconess Specialty Physicians, Inc | Internal Medicine | 2200 E Parrish Ave Bldg A, Owensboro, KY 42303 | 2018-03-20 |
| 1053810036 | Owensboro Health Medical Group, Inc. | Internal Medicine | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2018-02-06 |
| 1639510753 | Mohammed Abdul Haseeb Al-yafi I | Internal Medicine | Uk Gill Heart Institute, 800 Rose St, Lexington, KY 40536-0294 | 2013-07-17 |
| 1417203001 | Pratap Singh | Internal Medicine | 613 23rd St Ste 230, Ashland, KY 41101-2868 | 2012-08-01 |
| 1134484892 | Kings Daughters Medical Specialties Inc. | Internal Medicine | 613 23rd St Ste 210, Ashland, KY 41101-2868 | 2012-07-09 |
| Find all providers with the same taxonomy | ||||
| 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.