DR. SAMUAL PAUL GRACEY


Address: 1905 W Hebron Ln Ste 204, Shepherdsville, KY 40165
Phone: 5027973338

DR. SAMUAL PAUL GRACEY (NPI# 1386028066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386028066
Entity Type Individual
Full Name DR. SAMUAL PAUL GRACEY
Credential DPM
Practice Address 1905 W Hebron Ln Ste 204
Shepherdsville
KY 40165
Mailing Address 1905 W Hebron Ln Ste 204
Shepherdsville
KY 40165-7467
Practice Telephone 5027973338
Mailing Telephone 5027973338
Enumeration Date 2015-07-13
Last Update Date 2018-06-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
00432 KY Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY MEDICARE K244460 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
142 Chenoweth Ln, Louisville, KY 402072651 5028971616
9407 Westport Rd Ste 110, Louisville, KY 402412315 5027973338

Office Location

Street Address 1905 W HEBRON LN STE 204
City SHEPHERDSVILLE
State KY
Zip Code 40165

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841364346 Kathleen M Pyatak-hugar Podiatrist 1905 W Hebron Ln Ste 204, Shepherdsville, KY 40165-7467 2006-11-17
1043629439 Joshua Coger Podiatrist 1905 W Hebron Ln Ste 204, Shepherdsville, KY 40165-7467 2014-08-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396357729 Jennifer Gayle Stillwell Licensed Practical Nurse 202 Overlook Estates Drive, Shepherdsville, KY 40165 2020-08-18
1538701537 Melody Lynn Royer Technician 164 Beagle Run, Shepherdsville, KY 40165 2019-10-10
1649726258 Kentucky Cvs Pharmacy LLC Pharmacy 157 South Buckman Street, Shepherdsville, KY 40165 2016-09-01
1669866729 Ashley Krages Occupational Therapy Assistant 143b Turtle Bay Ct Apt 5, Shepherdsville, KY 40165 2015-03-26
1548679020 Debra F Schoenberg Social Worker 1305 S. Joe B Hall, Shepherdsviile, KY 40165 2014-08-08
1821438359 Jon-michael Leblanc Counselor 130 S. Joe B. Hall Ave., Shepherdsville, KY 40165 2013-06-28
1750633178 Lee Alan Roussel Marriage & Family Therapist 130 Joe B Hall, Shepherdsville, KY 40165 2012-10-09
1679822977 Andrew T. Webb Social Worker 130 South Joe B. Hall Ave., Shepherdsville, KY 40165 2012-08-31
1306173737 Enrica T Thomas Social Worker 815 John Harper Rd Unit 14, Shepherdsville, KY 40165 2009-11-05
1740452184 Brian Woodring Marriage & Family Therapist 130 Vine St., Shepherdsville, KY 40165 2008-03-26
Find all providers in zip 40165

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841364346 Kathleen M Pyatak-hugar Podiatrist 1905 W Hebron Ln Ste 204, Shepherdsville, KY 40165-7467 2006-11-17
1043629439 Joshua Coger Podiatrist 1905 W Hebron Ln Ste 204, Shepherdsville, KY 40165-7467 2014-08-11
1699021477 Bullitt County Foot and Ankle Center Podiatrist 421 Adam Shepherd Pkwy, Suite 100, Shepherdsville, KY 40165-6640 2012-07-30

Providers in the same taxonomy and state

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
1295172211 Alan Kidon Podiatrist 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 2013-05-31
1093085367 Ann Wolford Podiatrist 1850 Westen St, Bowling Green, KY 42104 2012-01-04
1740575653 Harpreet S Minhas Podiatrist 420 Hopkinsville St, Greenville, KY 42345-1102 2011-06-20
1528375821 Cumberland Foot and Ankle Center Podiatrist 49 Medical Loop, Whitley City, KY 42653-0000 2010-09-08
1760798045 Cumberland Foot and Ankle Center Podiatrist 49 Gregory St, Monticello, KY 42633-2407 2010-08-25
Find all providers with the same taxonomy

Competitor

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City SHEPHERDSVILLE
Zip Code 40165

Improve Information

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Dataset Information

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.

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