CARLY M COULTER


Address: 200 E Chestnut St, Louisville, KY 40202-1831
Phone: 5026346767

CARLY M COULTER (NPI# 1427616333) 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) 1427616333
Entity Type Individual
Full Name CARLY M COULTER
Credential PA
Practice Address 200 E Chestnut St
Louisville
KY 40202-1831
Mailing Address Po Box 36218
Louisville
KY 40233-6218
Practice Telephone 5026346767
Practice Fax Number 5026346775
Mailing Telephone 5026346767
Mailing Fax Number 5026346775
Enumeration Date 2019-06-05
Last Update Date 2019-06-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant KY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Audubon Plaza Dr, Louisville, KY 402171318 5026346767 5026346775
4960 Norton Healthcare Blvd, Louisville, KY 402412831 5026346767 5026346775

Office Location

Street Address 200 E CHESTNUT ST
City LOUISVILLE
State KY
Zip Code 40202-1831

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467456384 Sanford Todd Reikes Internal Medicine 200 E Chestnut St, Louisville, KY 40202-1831 2005-06-09
1245845163 Morgan Daffin Psychologist 200 E Chestnut St, Louisville, KY 40202-1831 2020-09-09
1053934612 Kayla N Larosa Psychologist 200 E Chestnut St, Louisville, KY 40202-1831 2020-05-18
1013548973 Kentucky Ob Hospitalist Services Inc Obstetrics & Gynecology 200 E Chestnut St, Louisville, KY 40202-1831 2020-01-30
1003451774 Elizabeth Turcotte Nurse Practitioner 200 E Chestnut St, Louisville, KY 40202-1831 2019-11-16
1972145332 Brenn Philip Arbra Registered Nurse 200 E Chestnut St, Louisville, KY 40202-1831 2019-10-17
1417599200 Candice Elaine Bacon Registered Nurse 200 E Chestnut St, Louisville, KY 40202-1800 2019-10-13
1518510965 Katrina Mcneal Nurse Practitioner 200 E Chestnut St, Louisville, KY 40202-1800 2019-07-24
1013569102 Hannah Harris Physician Assistant 200 E Chestnut St, Louisville, KY 40202-1831 2019-07-10
1932768710 Jasmina Keserovic Nurse Anesthetist, Certified Registered 200 E Chestnut St, Louisville, KY 40202-1831 2019-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972129682 Garvit Chhabra Student in an Organized Health Care Education/Training Program 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 2020-06-18
1396367009 Richele Williams Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 2020-05-15
1942822028 Ahmed Khaled Saleh Student in an Organized Health Care Education/Training Program 500 S Jackson St, Room 305, Louisville, KY 40202 2020-05-12
1457972952 Mir Ali Raza Talpur Student in an Organized Health Care Education/Training Program 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 2020-05-06
1316575533 Abigail Hatfield Student in an Organized Health Care Education/Training Program Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 2020-04-01
1851929210 Madison Harmon Student in an Organized Health Care Education/Training Program Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 2020-03-31
1184252041 Marianna Weaver Student in an Organized Health Care Education/Training Program 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 2020-03-27
1700347341 Charles Jake Sadle Student in an Organized Health Care Education/Training Program Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 2019-03-27
1437616794 Paladina Health, LLC Family Medicine Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 2019-02-22
1205393568 Paladina Health, LLC Family Medicine Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 2019-02-22
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184225591 Alexis Garrett Physician Assistant 16993 Green Crest Ln, Louisville, KY 40245-3217 2020-11-03
1164033353 Tyler Roberts Physician Assistant Private, Louisville, KY 40241 2020-08-12
1184247231 Jeremiah Noe Physician Assistant 3999 Dutchmans Ln Ste 2e, Louisville, KY 40207-4748 2020-05-23
1598388894 Amanda Marie Hafner Physician Assistant 200 E Chestnut St Bldg Suite300, Louisville, KY 40202-1831 2020-05-20
1205487170 Kenneth D Morrison Physician Assistant 9300 Stonestreet Rd Ste 200, Louisville, KY 40272-2894 2019-09-23
1518515444 William Wilson Physician Assistant 1037 E Caldwell St, Louisville, KY 40204-1857 2019-09-04
1760955546 Benjamin Charles Askins Physician Assistant 7906 New La Grange Rd, Louisville, KY 40222-4718 2019-01-04
1770066292 Molly Roberson Comprehensive Surgical Assistance Pllc Physician Assistant 1064 Eastern Pkwy, Louisville, KY 40217-1532 2018-09-11
1598246860 Kelsi J Barnes Physician Assistant 13151 Magisterial Dr # 200, Louisville, KY 40223-4103 2018-08-24
1174009930 Faun Ellwood-digel Physician Assistant 275 W Walnut St, Louisville, CO 80027-2295 2018-07-16
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Competitor

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City LOUISVILLE
Zip Code 40202

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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