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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00432 | KY | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | MEDICARE | K244460 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
142 Chenoweth Ln, Louisville, KY 402072651 | 5028971616 | |
9407 Westport Rd Ste 110, Louisville, KY 402412315 | 5027973338 |
Street Address |
1905 W HEBRON LN STE 204 |
City | SHEPHERDSVILLE |
State | KY |
Zip Code | 40165 |
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 |
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 Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
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 |
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 |
City | SHEPHERDSVILLE |
Zip Code | 40165 |
Please comment or provide details below to improve the information on DR. SAMUAL PAUL GRACEY.
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.