LOUISVILLE & SO INDIANA PULMONARY CARE (NPI# 1417366279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417366279 |
Entity Type | Organization |
Organization Name | LOUISVILLE & SO INDIANA PULMONARY CARE |
Practice Address |
4402 Churchman Ave Ste 409 Louisville KY 40215-1190 |
Practice Telephone | 5023689561 |
Practice Fax Number | 5028821263 |
Mailing Telephone | 5023689561 |
Mailing Fax Number | 5028821263 |
Enumeration Date | 2014-08-06 |
Last Update Date | 2014-08-06 |
Authorized Official Name | STACY L RALSTON (PRACTICE ADMINISTATOR) |
Authorized Official Telephone | 5023689561 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
3008801 | KY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4402 CHURCHMAN AVE STE 409 |
City | LOUISVILLE |
State | KY |
Zip Code | 40215-1190 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164424321 | Joel Philip Garmon | Surgery | 4402 Churchman Ave, Ste 202, Louisville, KY 40215-3101 | 2005-06-01 |
1629523048 | Cynthia Byers | Nurse Practitioner | 4402 Churchman Ave, Suite 410, Louisville, KY 40215-1190 | 2016-08-16 |
1780047456 | Distler, Huntington & Blair Psc | Optometrist | 4402 Churchman Ave, Ste 306, Louisville, KY 40215-3101 | 2016-03-31 |
1790143295 | Julia L Staib | Nurse Practitioner | 4402 Churchman Ave, Suite 300, Louisville, KY 40215-1190 | 2016-01-29 |
1306218805 | Charna E Gaither | Nurse Practitioner | 4402 Churchman Ave, Suite 404, Louisville, KY 40215-1190 | 2015-10-22 |
1255703922 | Michelle Sims | Nurse Practitioner | 4402 Churchman Ave, Suite 302, Louisville, KY 40215-1190 | 2015-10-21 |
1609246156 | Elizabeth Mann Gasser | Physician Assistant | 4402 Churchman Ave, Suite 300, Louisville, KY 40215-1190 | 2015-09-28 |
1972907327 | Ashley Tant | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-10-14 |
1447669478 | Ashley C Tant | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-08-04 |
1932536505 | Katherine M Archer | Nurse Practitioner | 4402 Churchman Ave, Suite 408, Louisville, KY 40215-1190 | 2013-09-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
Find all providers in zip 40215 |
Taxonomy Code | 363LC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760020531 | Meaghan Elisabeth Baumgardner | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-12-12 |
1184272916 | Tracy Hayden Schamel | Nurse Practitioner | 530 S Jackson St, Louisville, KY 40202-1675 | 2019-08-26 |
1972907327 | Ashley Tant | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-10-14 |
1447669478 | Ashley C Tant | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013491984 | Laurel M Fulgham | Nurse Practitioner | Uk Healthcare 1000 S Limestone, Lexington, KY 40536-0001 | 2018-09-18 |
1912517731 | Sarah Williams | Nurse Practitioner | 1401 Harrodsburg Rd Ste C405, Lexington, KY 40504-1748 | 2020-08-06 |
1467009514 | Alexandra Michele Malone | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2019-08-22 |
1902469737 | Patrick Sarcinella | Nurse Practitioner | 1720 Nicholasville Rd Ste 602, Lexington, KY 40503-1488 | 2019-04-17 |
1093224594 | Kelly Ryan Bohl | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-3787 | 2017-09-27 |
1851586879 | Natasha Dougherty | Nurse Practitioner | 1720 Nicholasville Rd, Ste 602, Lexington, KY 40503-1404 | 2007-09-12 |
1194731919 | Rita Marie Paxson | Nurse Practitioner | 3101 Richmond Rd, Lexington, KY 40509-1599 | 2006-08-01 |
1407812928 | Vicky Lynn Turner | Nurse Practitioner | 740 South Limestone, Lexington, KY 40536-0001 | 2006-04-24 |
1174525158 | Susan Hoff-thomas | Nurse Practitioner | 1720 Nicholasville Rd, Suite 602, Lexington, KY 40503-1475 | 2005-08-10 |
City | LOUISVILLE |
Zip Code | 40215 |
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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.