STEPHEN FW CAVANAH (NPI# 1427045723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427045723 |
| Entity Type | Individual |
| Full Name | STEPHEN FW CAVANAH |
| Credential | MD |
| Practice Address |
2355 Poplar Level Rd Ste.301 Louisville KY 40217-1395 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5026360406 |
| Mailing Telephone | 5022725063 |
| Mailing Fax Number | 5022725339 |
| Enumeration Date | 2005-10-02 |
| Last Update Date | 2019-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
23372 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100222610 | 05 | |
| IN | 201130560 | 05 | |
| KY | MEDICARE- NCMA ENDO | K072160 | 01 |
| KY | ANTHEM-NCMA | 791023 | 01 |
| Street Address |
2355 POPLAR LEVEL RD STE.301 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40217-1395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649710021 | Hoang Kim Ngo | Nurse Practitioner | 2355 Poplar Level Rd, Suite 200, Louisville, KY 40217-1395 | 2017-03-03 |
| 1487191938 | Jaime Michelle Bradley-miller | Nurse Practitioner | 2355 Poplar Level Rd, Suite 405, Louisville, KY 40217-1395 | 2017-01-23 |
| 1942665161 | Emily Kathleen Beckman | Nurse Practitioner | 2355 Poplar Level Rd, Suite 200, Louisville, KY 40217-1395 | 2015-12-16 |
| 1871998906 | Rebecca Volz | Nurse Practitioner | 2355 Poplar Level Rd, Suite 405, Louisville, KY 40217-1395 | 2014-10-31 |
| 1386047249 | Robert C Birt | Nurse Practitioner | 2355 Poplar Level Rd, Suite 301, Louisville, KY 40217-1395 | 2014-10-06 |
| 1538403514 | Katherine Lynn Selby | Nurse Practitioner | 2355 Poplar Level Rd, Suite 200, Louisville, KY 40217-1395 | 2012-11-15 |
| 1790063261 | Anne S. Ott | Nurse Practitioner | 2355 Poplar Level Rd, Suite 200, Louisville, KY 40217-1395 | 2011-08-01 |
| 1477795920 | Kristopher Zephinar Fannin | Family Medicine | 2355 Poplar Level Rd, Suite 200, Louisville, KY 40217-1395 | 2009-03-30 |
| 1770745473 | Amanda M Yarberry | Pharmacist | 2355 Poplar Level Rd, Ste 302, Louisville, KY 40217-1395 | 2008-06-25 |
| 1629230255 | Kelly Anne Mcdonald | Pharmacist | 2355 Poplar Level Rd, Ste 302, Louisville, KY 40217-1395 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720564016 | Kaela Marie Turley | Nurse Practitioner | 2355 Poplar Level Rd Ste 405, Louisville, KY 40217 | 2018-07-19 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1386185437 | Meredith Brooke Ervin | Counselor | 1169 Eastern Pkwy Ste 3310, Louisville, KY 40217 | 2017-03-08 |
| 1437507621 | Kendra Pickerill | Speech-Language Pathologist | 906 Delor Avenue, Louisville, KY 40217 | 2016-05-27 |
| 1275947186 | Gary Muncy | Massage Therapist | 607 East Brandeis Ave, Louisville, KY 40217 | 2014-06-18 |
| 1912318791 | Stacey Charlotte Elmes | Case Manager/Care Coordinator | 2338 Alexanderave, Louisville, KY 40217 | 2014-05-14 |
| 1275819831 | April Mecasha Cox | Pharmacist | 808 Eastern Parkway, Louisville, KY 40217 | 2011-10-27 |
| 1831346204 | Nikki Renee Wilson | Registered Nurse | 1169 Eastern Pkwy Ste 1226, Louisville, KY 40217 | 2008-08-27 |
| 1497925440 | Sarah Beth Murrow | Chiropractor | 1100 Milton St, Louisville, KY 40217 | 2008-03-06 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| Find all providers in zip 40217 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1619162880 | Diabetes & Endocrine Specialists Pllc | Internal Medicine | 330 Townepark Cir Ste 100, Louisville, KY 40243-2352 | 2007-09-11 |
| 1053526038 | Lina Yassine | Internal Medicine | 751 Greenridge Ln, Louisville, KY 40207-1307 | 2007-05-11 |
| 1427137223 | Nisha Roy Varghese | Internal Medicine | 330 Townepark Cir, Suite 100, Louisville, KY 40243-2352 | 2006-11-03 |
| 1114026879 | Delhi Associates | Internal Medicine | 3 Audubon Plaza Dr Ste 430, Louisville, KY 40217-1319 | 2006-09-21 |
| 1316953920 | Harold Edward Bays | Internal Medicine | 3288 Illinois Ave, Suite 101, Louisville, KY 40213-1014 | 2006-08-01 |
| 1538114418 | Kailash C Sabharwal | Internal Medicine | 2355 Poplar Level Rd Ste 301, Louisville, KY 40217-1388 | 2006-05-23 |
| 1083696843 | Christopher R Fox | Internal Medicine | 892 W South Boulder Rd, Louisville, CO 80027-2453 | 2005-11-17 |
| 1285101451 | Alpine Center for Diabetes Endocrinology and Metabolism PC | Internal Medicine | 892 W South Boulder Rd, Louisville, CO 80027-2453 | 2018-10-25 |
| 1881192409 | Community Medical Associates, Inc. | Internal Medicine | 1930 Bishop Ln Ste 1017, Louisville, KY 40218 | 2018-01-29 |
| 1346763331 | Zakaria Sibai | Internal Medicine | 550 S Jackson St Fl 3, Louisville, KY 40202-1622 | 2017-07-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40217 |
Please comment or provide details below to improve the information on STEPHEN FW CAVANAH.
| 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.