DR. MATTHEW CAMERON BOZEMAN (NPI# 1558533687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558533687 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW CAMERON BOZEMAN |
| Credential | M.D. |
| Practice Address |
401 E Chestnut St Ste 710 Louisville KY 40202 |
| Mailing Address |
Po Box 909 Louisville KY 40201-0909 |
| Practice Telephone | 5025838303 |
| Practice Fax Number | 5025840302 |
| Mailing Telephone | 5025880328 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
46842 | KY | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
46842 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100142030 | 05 | |
| IN | 201232250 | 05 |
| Street Address |
401 E CHESTNUT ST STE 710 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832961 | Janice S Fiechter | Nurse Practitioner | 401 E Chestnut St, Ste, Louisville, KY 40202-5700 | 2005-06-27 |
| 1548871932 | Stephen Andrew Zeller | Occupational Therapist | 401 E Chestnut St, Louisville, KY 40202-5700 | 2020-08-11 |
| 1992266993 | Laura Cordonnier | Student in an Organized Health Care Education/Training Program | 401 E Chestnut St, Louisville, KY 40202-5700 | 2019-03-31 |
| 1902372972 | Shae Daniel Morgan | Audiologist | 401 E Chestnut St, Louisville, KY 40202-5700 | 2018-10-17 |
| 1538699277 | Mary Edith Hill | Nurse Practitioner | 401 E Chestnut St, Louisville, KY 40202 | 2017-06-15 |
| 1578097846 | Christopher Lombardi | Student in an Organized Health Care Education/Training Program | 401 E Chestnut St, Ste. 610, Louisville, KY 40202-5700 | 2017-04-13 |
| 1902352784 | Wasan Amornsang | Dentist | 401 E Chestnut St, Suite 550, Louisville, KY 40202-5700 | 2016-08-31 |
| 1972959617 | Garwen Chen | Psychiatry & Neurology | 401 E Chestnut St, Suite 600, Louisville, KY 40202-5700 | 2016-05-12 |
| 1184088163 | Souzana Alkhouri | Psychiatry & Neurology | 401 E Chestnut St, Suite 610, Louisville, KY 40202-5700 | 2016-04-06 |
| 1144684127 | Linda Webster | Counselor | 401 E Chestnut St, Suite 610, Louisville, KY 40202-5700 | 2016-04-06 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619947496 | J David Richardson | Surgery | 401 E Chestnut St, Suite 710, Louisville, KY 40202-5700 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952578593 | Steven Snodgrass | Surgery | 996 Wilkinson Trace, Suite B 3, Bowling Green, KY 42103 | 2008-05-13 |
| 1295827921 | Joseph B Zwischenberger | Surgery | 800 Rose Street, Mn264, University of Kentucky, Department of Surgery, Lexington, KY 40536-0298 | 2006-09-29 |
| 1053739284 | Tyler Koestner | Surgery | 800 Rose St, Lexington, KY 40536-2104 | 2014-04-04 |
| 1205270196 | William Frederick Weber Iv | Surgery | 800 Rose St, Lexington, KY 40536-0001 | 2013-04-22 |
| 1629336938 | Mohannad Talal Hemdi | Surgery | University of Kentucky, 800 Rose Street, Lexington, KY 40536-0293 | 2012-04-25 |
| 1083750681 | Aaron Lee Brown | Surgery | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2007-01-30 |
| 1407890015 | Ronald J Kembro | Surgery | 650 Joel Dr, Attn: General Surgery, Fort Campbell, KY 42223-5318 | 2006-06-15 |
| 1508815796 | Bernard Roger Boulanger | Surgery | 740 South Limestone, Lexington, KY 40536-0001 | 2006-05-08 |
| 1851340756 | Paul A Kearney | Surgery | 740 South Limestone, Lexington, KY 40536-0001 | 2006-05-08 |
| 1841255924 | Timothy Mullett | Surgery | 740 South Limestone, Lexington, KY 40536-0001 | 2006-04-20 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.