DR. JACOB LAWRENCE NUNAMAKER IV (NPI# 1356411508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356411508 |
| Entity Type | Individual |
| Full Name | DR. JACOB LAWRENCE NUNAMAKER IV |
| Credential | M.D. |
| Practice Address |
6420 Dutchmans Pkwy Ste 200 Louisville KY 40205-3372 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5028218300 |
| Practice Fax Number | 5028918338 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
43177 | KY | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
TP888 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE | 000000693030 | 01 |
| KY | HUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE | 000057080N | 01 |
| KY | RAILROAD MEDICARE | P00992197 | 01 |
| KY | 7100107670 | 05 |
| Street Address |
6420 DUTCHMANS PKWY STE 200 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40205-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084262 | Kenneth Lorne Balcombe | Otolaryngology | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3372 | 2005-06-21 |
| 1356897227 | The Cataract Vision Institute LLC | Clinic/Center | 6420 Dutchmans Pkwy, Suite 185, Louisville, KY 40205-3372 | 2016-08-30 |
| 1083066039 | Stacey Roberts | Nurse Practitioner | 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | 2016-07-01 |
| 1619344975 | Megan Nicole Cahill | Nurse Practitioner | 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | 2015-08-21 |
| 1275909343 | Alexandra Spata | Physical Therapist | 6420 Dutchmans Pkwy, Suite 160, Louisville, KY 40205-3372 | 2015-08-12 |
| 1538545009 | Kayla Fowler | Physical Therapist | 6420 Dutchmans Pkwy, Suite 160, Louisville, KY 40205-3372 | 2015-08-06 |
| 1134555402 | Cristal L Pollak | Nurse Practitioner | 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | 2013-09-18 |
| 1649605502 | Elizabeth R Krupiczewicz | Nurse Practitioner | 6420 Dutchmans Pkwy, Ste.200, Louisville, KY 40205 | 2013-09-11 |
| 1932443892 | Melanie Therese Twyman | Nurse Practitioner | 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | 2012-11-16 |
| 1639431968 | Melissa Dawn Wright | Nurse Practitioner | 6420 Dutchmans Pkwy, Ste.200, Louisville, KY 40205-3372 | 2012-06-12 |
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831300797 | Medical Center Cardiologists, Psc | Internal Medicine | 100 Mallard Creek Rd, Suite 150, Louisville, KY 40207-4194 | 2007-05-24 |
| 1437267663 | Abdolreza Agahtehrani | Internal Medicine | 6420 Dutchmans Pkwy, Ste 200, Louisville, KY 40205-3372 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093250615 | Advanced Vascular Institute | Internal Medicine | 1374 Highway 192 E, London, KY 40741-3123 | 2017-01-05 |
| 1659770733 | Scott C Harris Do Pllc | Internal Medicine | 112 Windmere Dr, Bowling Green, KY 42103-8720 | 2014-08-14 |
| 1457554750 | Tullio Emanuele Md, Psc | Internal Medicine | 720 Second Street, Suite 204, Bowling Green, KY 42101-5852 | 2007-06-06 |
| 1083823421 | Our Lady of Bellefonte Hospital | Internal Medicine | 1180 Saint Christopher Dr, Ste. 2, Ashland, KY 41101-7055 | 2007-05-22 |
| 1750359857 | Michele A Friday | Internal Medicine | 1180 Saint Christopher Dr Ste 2, Ashland, KY 41101-7055 | 2006-03-14 |
| 1740255314 | Avichai Eres | Internal Medicine | 161 N Eagle Creek Dr, Suite 400, Lexington, KY 40509-9038 | 2006-02-17 |
| 1053310409 | Mohammed Kazimuddin | Internal Medicine | 825 Second Ave, Ste B1, Bowling Green, KY 42101 | 2005-07-19 |
| 1235645607 | Appalachian Vascular Institute, Pllc | Internal Medicine | 243 Roy Campbell Dr Ste B, Hazard, KY 41701-9485 | 2017-12-21 |
| 1770001877 | Owensboro Health Medical Group, Inc. | Internal Medicine | 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | 2017-09-08 |
| 1346788023 | Julie Reinstatler | Internal Medicine | 800 Rose St, Lexington, KY 40536-7001 | 2017-02-02 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40205 |
Please comment or provide details below to improve the information on DR. JACOB LAWRENCE NUNAMAKER IV.
| 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.