BLUEGRASS REGIONAL CANCER CENTER LLP (NPI# 1497735948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497735948 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS REGIONAL CANCER CENTER LLP |
| Other Organization Name | LOUISVILLE RADIATION ONCOLOGY CENTER |
| Practice Address |
4500 Churchman Ave Suite 100 Louisville KY 40215-1143 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 5023633100 |
| Practice Fax Number | 5023631110 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | KIM COMMINS (CEO) |
| Authorized Official Telephone | 2399317275 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65931693 | 05 | |
| KY | RAILROAD MEDICARE | CK9008 | 01 |
| Other Name | Type Code |
|---|---|
| Louisville Radiation Oncology Center | Doing Business As Name - Organization |
| Street Address |
4500 CHURCHMAN AVE SUITE 100 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851386767 | Mark R. Jones | Radiology | 4500 Churchman Ave, Suite 100, Louisville, KY 40215-1143 | 2005-09-16 |
| 1932504172 | Louisville Jefferson County Metro Government | Clinic/Center | 4500 Churchman Ave, Louisville, KY 40215-1188 | 2014-10-30 |
| 1013200534 | Bonnie Warner | Nurse Practitioner | 4500 Churchman Ave, Suite 101, Louisville, KY 40215-1188 | 2011-05-17 |
| 1861623928 | Robert G Hammer Md & Associates | Registered Nurse | 4500 Churchman Ave, 200 Plaza 3, Louisville, KY 40215-1186 | 2009-08-06 |
| 1073606067 | Hammer & Hack Mds Pllc | Internal Medicine | 4500 Churchman Ave, Suite 200, Louisville, KY 40215 | 2006-10-02 |
| 1770595035 | Warren R Kemper | Internal Medicine | 4500 Churchman Ave, #101, Louisville, KY 40215-1143 | 2006-08-13 |
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104211341 | Alden Klarer | Radiology | 529 South Jackson, Internal Medicine, Acb 3rd Floor, Louisville, KY 40202-1622 | 2015-04-04 |
| 1699844910 | Birkhead, Eckman & Scharf, P.s.c. | Radiology | 4003 Kresge Way Ste 115, Louisville, KY 40207-4652 | 2006-11-08 |
| 1629175393 | Shiao Y Woo | Radiology | 529 S, Jackson Street, Radiation Oncology, Brown Cancer Center, Louisville, KY 40202 | 2006-09-17 |
| 1770698169 | Craig Lyle Silverman | Radiology | 529 South Jackson Street, Louisville, KY 40202 | 2006-08-19 |
| 1659389039 | Donnie R. Stacy | Radiology | 3920 S Dupont Sq, Louisville, KY 40207-4615 | 2006-08-03 |
| 1851386767 | Mark R. Jones | Radiology | 4500 Churchman Ave, Suite 100, Louisville, KY 40215-1143 | 2005-09-16 |
| 1063843415 | University of Louisville Research Foundation | Radiology | 529 S Jackson St, Louisville, KY 40202-3229 | 2013-12-11 |
| 1487097390 | Scott Richard Silva | Radiology | 529 S Jackson St, Louisville, KY 40202-3229 | 2013-04-10 |
| 1679816920 | Dan Ishihara | Radiology | 315 E Broadway Fl 4, Louisville, KY 40202 | 2013-04-04 |
| 1629395223 | Harriet Belding Eldredge-hindy | Radiology | 529 S Jackson St, Louisville, KY 40202-3229 | 2010-04-23 |
| Find all providers in LOUISVILLE | ||||
| 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.