IDEAL IMAGE (NPI# 1548551054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548551054 |
| Entity Type | Organization |
| Organization Name | IDEAL IMAGE |
| Practice Address |
3604 Springhurst Blvd Louisville KY 40241-4142 |
| Practice Telephone | 5024253001 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |
| Authorized Official Name | DR. FELIX ALBERT OLASH JR. (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5028971776 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
3006727 | KY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
| 1073978607 | Ideal Image | Nursing Care | 17504 Preserve Walk Ln, Tampa, FL 33647-3243 | 2015-12-26 |
| 1083008437 | Ideal Image | Clinic/Center | 1485 Pine Ridge Rd, Naples, FL 34109-2114 | 2015-03-24 |
| 1679878904 | Ideal Image | Nurse Practitioner | 4866 Big Island Dr, Ste #5, Jacksonville, FL 32246-7498 | 2011-01-18 |
| 1871985853 | Ideal Image | Clinic/Center | 330 San Lorenzo Ave, 2345, Coral Gables, FL 33146-1846 | 2015-02-27 |
| 1609272038 | Ideal Image | Clinic/Center | 330 San Lorenzo Ave, Coral Gables, FL 33146-1846 | 2014-11-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Ideal Image Branding Elements Inc | 115 Haas Drive, Englewood, OH 45322 |
| New York State Corporations | IDEAL IMAGE CONSTRUCTION CORP | 167 Division Ave, Brooklyn, Ny 11211 |
| System for Award Management (SAM) Entities | IDEAL IMAGE DENTISTRY & SPA | 600 E Main St, Mandan, ND 58554-3536 |
| New York State Corporations | IDEAL IMAGE DEVELOPMENT CORPORATION | 15 North Mill Street, Nyack, New York 10960 |
| Connecticut Business Registrations | IDEAL IMAGE DEVELOPMENT CORPORATION | 4830 W. Kennedy Blvd., Ste. 440, Tampa, FL 33609 |
| Massachusetts Corporations | IDEAL IMAGE DEVELOPMENT, INC. | 4830 W. Kennedy Blvd., Ste 440, Tampa, FL 33609 |
| Colorado Business Entities | Ideal Image Group of Colorado, PLLC | 1 North Dale Mabry Hwy, Suite 1200, Yampa, FL 33609 |
| Connecticut Business Registrations | IDEAL IMAGE GROUP OF CONNECTICUT, LLC | 4830 West Kennedy Boulevard, Suite 440, Tampa, FL 33609 |
| Colorado Business Entities | Ideal Image Inc | 115 Haas Drive, Englewood, OH 45322 |
| Virginia Business Entities | IDEAL IMAGE INC. | 115 Haas Dr, Englewood, Ohio 45322-2845 |
| Street Address |
3604 SPRINGHURST BLVD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-4142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174920623 | Molly Alexander | Nurse Practitioner | 3604 Springhurst Blvd, Louisville, KY 40241-4142 | 2014-11-28 |
| 1568756989 | Amanda Brooke Baker Jones | Nurse Practitioner | 3604 Springhurst Blvd, Louisville, KY 40241-4142 | 2011-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114573938 | Boulder Community Health | Clinic/Center | 90 Health Park Dr Ste 130, Louisville, CO 80027-9586 | 2019-08-16 |
| 1932484862 | Lorri Livers Houck, Pllc | Clinic/Center | 105 Crescent Ave, Louisville, KY 40206-1525 | 2011-10-11 |
| 1629357959 | Megan Middleton | Clinic/Center | 1850 Bluegrass Ave, Louisville, KY 40215-1161 | 2011-08-04 |
| 1659669414 | Norton Hospitals Inc | Clinic/Center | 6420 Dutchmans Pkwy, Ste 75, Louisville, KY 40205-3372 | 2011-07-14 |
| 1174819106 | Norton Hospitals Inc | Clinic/Center | 4420 Dixie Hwy, Ste 120, Louisville, KY 40216-2988 | 2011-06-28 |
| 1477861888 | Home of The Innocents, Inc. | Clinic/Center | 1100 E Market St, Louisville, KY 40206-1838 | 2010-09-20 |
| 1851531123 | Flatiron Premier Medicine | Clinic/Center | 90 Health Park Dr, Suite 350, Louisville, CO 80027-9757 | 2009-02-26 |
| 1609054766 | Judy Holtman | Clinic/Center | 444 S 1st St, Suite 100, Louisville, KY 40202-1416 | 2008-01-31 |
| 1285617886 | Louisville Pediatric Specialists,psc | Clinic/Center | 6801 Dixie Hwy, Suite127, Louisville, KY 40258-3913 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468147 | Mountain Health Care | Clinic/Center | 3056 Ky Route 321, Prestonsburg, KY 41653-9105 | 2020-02-09 |
| 1215276282 | Denali Iom | Clinic/Center | 1211 Griffith Ave, Owensboro, KY 42301-2816 | 2013-02-11 |
| 1609179589 | Paul L Patterson II Od Psc | Clinic/Center | 295 Campbellsville Byp Ste 1, Campbellsville, KY 42718-7870 | 2010-12-14 |
| 1437482072 | Ephraim Mcdowell Health Resource, Inc. | Clinic/Center | 216 West Walnut, Suite B, Danville, KY 40422-1824 | 2009-09-15 |
| 1285813469 | Chiaki Gauntt Md Pllc | Clinic/Center | 1917 S Highway 53, La Grange, KY 40031-8574 | 2007-10-24 |
| 1477767549 | Karen Eastridge LLC | Clinic/Center | 1553 Highway 44 E Ste 2, Shepherdsville, KY 40165-7183 | 2007-05-09 |
| 1760525067 | Lagrange Wellness Chiropractoc | Clinic/Center | 2005 S Highway 53 Ste C, Lagrange, KY 40031-9109 | 2007-02-15 |
| 1316441975 | Renew Recovery, LLC | Clinic/Center | 599 Freedom Park Dr, Crestview Hills, KY 41017 | 2018-03-20 |
| 1801249925 | Shriners Hospitals for Children | Clinic/Center | 110 Conn Ter, Lexington, KY 40508-3206 | 2016-07-14 |
| 1346625613 | Mansfield Eye Clinic, Pllc | Clinic/Center | 5101 Hinkleville Rd, Ste 490, Paducah, KY 42001-9049 | 2015-07-28 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
Please comment or provide details below to improve the information on IDEAL IMAGE.
| 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.