BRIAN DERHAKE (NPI# 1508908781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508908781 |
| Entity Type | Individual |
| Full Name | BRIAN DERHAKE |
| Credential | M.D. |
| Practice Address |
252 Whittington Pkwy Louisville KY 40222-4904 |
| Practice Telephone | 5024237246 |
| Practice Fax Number | 5024267247 |
| Mailing Telephone | 5024237246 |
| Mailing Fax Number | 5024267247 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2016-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
44405 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE | K017671 | 01 |
| Street Address |
252 WHITTINGTON PKWY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40222-4904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821172271 | Ann K Buchanan | Nurse Practitioner | 252 Whittington Pkwy, Louisville, KY 40222-4904 | 2006-10-24 |
| 1134500879 | M C Cronen & Assoc, Inc Psc | Pharmacy | 252 Whittington Pkwy, Louisville, KY 40222-4904 | 2015-06-17 |
| 1164636718 | Whitney Somer Fryman | Massage Therapist | 252 Whittington Pkwy, Louisville, KY 40222-4904 | 2007-05-10 |
| 1649499609 | The Pain Institute | Clinic/Center | 252 Whittington Pkwy, Louisville, KY 40222-4904 | 2007-04-25 |
| 1184767048 | Konrad Kijewski | Pain Medicine | 252 Whittington Pkwy, Louisville, KY 40222-4904 | 2007-02-14 |
| 1881759488 | M. C. Cronen & Associates Inc., Psc | Anesthesiology | 252 Whittington Pkwy, Louisville, KY 40222-4904 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
| 1982162509 | Sydney Sleadd | Massage Therapist | 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 | 2019-03-04 |
| 1205390127 | Rebecca A Street | Marriage & Family Therapist | 8134 New La Grange Rd Ste 227, Louisville, KY 40222 | 2019-01-24 |
| 1689176166 | Andrew Pennington | Social Worker | 1015 Dorsey Ln., Louisville, KY 40222 | 2018-03-01 |
| 1578085957 | Megan Lusco | Case Manager/Care Coordinator | 312 Whittington Parkway, Suite 020, Louisville, KY 40222 | 2017-07-07 |
| 1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
| 1578094736 | Jacqueline Ward | Speech-Language Pathologist | 910 Fenley Avenue, Louisville, KY 40222 | 2017-03-21 |
| 1295195907 | Carol Massey | Psychologist | 7400 Newlagrange Roed, 308, Louisville, KY 40222 | 2016-02-24 |
| 1588047260 | Melissa Cosby | Case Manager/Care Coordinator | 312 Whittington Parkway Suite 020, Louisville, KY 40222 | 2015-06-30 |
| Find all providers in zip 40222 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447645403 | Vinayak Nadar | Anesthesiology | 1013 N Dupont Sq Ste A, Louisville, KY 40207-4612 | 2015-04-06 |
| 1114311073 | William Bickers | Anesthesiology | 530 S Jackson St Rm C2a01, Department of Anesthesiology and Perioperative Medicine, Louisville, KY 40202-1675 | 2015-03-27 |
| 1386088508 | Brooke Bauer | Anesthesiology | 2400 Eastpoint Pkwy Ste 410, Louisville, KY 40223-4154 | 2013-04-18 |
| 1609854520 | Michael C Cronen | Anesthesiology | 252 Whittington Parkway, Louisville, KY 40222-4904 | 2006-01-03 |
| 1053807206 | Capitol Pain of Kentucky, Pllc | Anesthesiology | 3841 Ruckriegel Pkwy Ste 104, Louisville, KY 40299 | 2018-07-10 |
| 1992219174 | Noelle Allison Lang | Anesthesiology | 11901 Standiford Plaza Dr, Louisville, KY 40229 | 2017-11-26 |
| 1457712366 | Steven Thebaud | Anesthesiology | 530 S Jackson St Rm C2a03, Louisville, KY 40202-1675 | 2016-03-19 |
| 1740611185 | University of Louisville Research Foundation | Anesthesiology | 530 S Jackson St, Louisville, KY 40202-1675 | 2013-12-11 |
| 1780909952 | Jenna Leigh Dismore Wrinkles | Anesthesiology | 120 Executive Park, Louisville, KY 40207-4201 | 2010-03-31 |
| 1770716870 | Portercare Adventist Health System | Anesthesiology | 80 Health Park Dr, Suite 270, Louisville, CO 80027-9584 | 2009-08-24 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40222 |
Please comment or provide details below to improve the information on BRIAN DERHAKE.
| 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.