MR. JOHN ROBERT HULTGREN (NPI# 1568430684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568430684 |
| Entity Type | Individual |
| Full Name | MR. JOHN ROBERT HULTGREN |
| Credential | FP-C |
| Practice Address |
2807 Taylorsville Rd Statcare Louisville KY 40205-3166 |
| Mailing Address |
2306 Raleigh Ln Louisville KY 40206-2827 |
| Practice Telephone | 5024799133 |
| Mailing Telephone | 5028938714 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146L00000X | Emergency Medical Technician, Paramedic | 9347229 | IN | Emergency Medical Service Providers |
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 278P | KY | Emergency Medical Service Providers |
| Street Address |
2807 TAYLORSVILLE RD STATCARE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40205-3166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396065975 | Rocky Mountain Holdings, LLC. | Ambulance | 2807 Taylorsville Rd, Louisville, KY 40205 | 2010-06-07 |
| 1013187244 | Cj Critical Care Transportation Systems of Ky Inc | Ambulance | 2807 Taylorsville Rd, Louisville, KY 40205-3166 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1609392133 | Leah Elizabeth Storch | Occupational Therapist | 2231 Wendell Ave, Louisville, KY 40205 | 2017-08-16 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1699205328 | Nathaniel George Kennedy | Physician Assistant | 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 | 2017-06-14 |
| 1225584972 | Kalpana Bhaskar | Pharmacist | 3036 Bardstown Road, Louisville, KY 40205 | 2016-08-31 |
| 1013398627 | William Wood | Hearing Instrument Specialist | 2239 Bardstown Rd., Louisville, KY 40205 | 2015-06-10 |
| 1811306707 | Alaina Rotelli | Pharmacist | 2100 Gardiner Lane, Louisville, KY 40205 | 2014-08-05 |
| 1013325760 | Jaime Alexandra Seelmeyer | Counselor | 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 | 2014-07-25 |
| 1992009336 | Priscilla Freeman | Case Manager/Care Coordinator | 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 | 2010-12-28 |
| 1457501413 | Amanda Christine Voils-levenda | Psychologist | 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 | 2008-09-26 |
| Find all providers in zip 40205 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557808 | Carl Akin IIi | Emergency Medical Technician, Paramedic | 1511 Texas Ave, Louisville, KY 40217-2237 | 2018-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659702009 | Joshua Paul Blevins Sr. | Emergency Medical Technician, Paramedic | 81 Seventh St, South Shore, KY 41175-7871 | 2013-12-11 |
| 1376880948 | Megan Callis | Emergency Medical Technician, Paramedic | 500 Highway 69 N, Hartford, KY 42347-9785 | 2013-01-15 |
| 1538406103 | Helen Dever | Emergency Medical Technician, Paramedic | 500 State Route 69 N, Hartford, KY 42347-9785 | 2013-01-15 |
| 1881910248 | Gregory Scott Awbery | Emergency Medical Technician, Paramedic | 323 Mcguire Rd, Symsonia, KY 42082-9202 | 2010-04-09 |
| 1588896260 | Jakes Branch Fire and Rescue | Emergency Medical Technician, Paramedic | 5447 Ky Hwy 476, Bulan, KY 41722-0065 | 2009-08-14 |
| 1861509911 | Mcintosh Ambulance Inc | Emergency Medical Technician, Paramedic | 171 Howell Heights, Jackson, KY 41339 | 2006-08-24 |
| 1023122884 | William Scott Breeze | Emergency Medical Technician, Paramedic | 3194 Bridlerun Dr, Independence, KY 41051-6888 | 2006-08-18 |
| 1881651065 | Ralph M. Garvin | Emergency Medical Technician, Paramedic | 12307 Midland Trail Rd, Ashland, KY 41102-9639 | 2006-04-30 |
| 1417995739 | Daniel B Ray | Emergency Medical Technician, Paramedic | 1000 Saint Christopher Dr, Emergency Department, Ashland, KY 41101-7034 | 2006-06-02 |
| City | LOUISVILLE |
| Zip Code | 40205 |
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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.