SANJAY K. JAIN (NPI# 1578504817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578504817 |
| Entity Type | Individual |
| Full Name | SANJAY K. JAIN |
| Credential | M.D. |
| Practice Address |
4402 Churchman Ave Ste 408 Louisville KY 40215-3102 |
| Mailing Address |
2903 Meadow Farms Pl Louisville KY 40245-5610 |
| Practice Telephone | 5022127511 |
| Practice Fax Number | 5024267282 |
| Mailing Telephone | 5022443830 |
| Mailing Fax Number | 5024268272 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 33212 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
33212 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE - KY | P00424387 | 01 |
| KY | 64880255 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447743109 | Sanjay Sureshchandra Jain | Pharmacist | 11801 N Saginaw St, Mount Morris, MI 48458-1503 | 2018-06-07 |
| 1114453842 | Sanjay Kumar Jain | Family Medicine | 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265 | 2017-05-01 |
| 1790050052 | Sanjay Jain | Radiology | 6431 Fannin, Suite Msb 2.116, Houston, TX 77030-5389 | 2012-03-19 |
| 1306988290 | Sanjay K. Jain | Psychiatry & Neurology | 26619 Union Tpke, New Hyde Park, NY 11040-1426 | 2007-02-14 |
| 1003827213 | Sanjay Jain | Internal Medicine | 510 E Stoner Ave, Primary Care (110), Shreveport, LA 71101-4243 | 2006-08-11 |
| 1033145974 | Sanjay Jain | Internal Medicine | 660 S Euclid Ave, Campus Box 8015, Saint Louis, MO 63110-1010 | 2006-06-23 |
| 1063455780 | Sanjay K Jain | Family Medicine | Panther Valley Mall, Bldg B, Route 517, Hackettstown, NJ 07840 | 2006-06-13 |
| 1619919750 | Sanjay Raj Jain | Internal Medicine | 34 Upper Riverdale Rd Se, Suite 200, Riverdale, GA 30274-2635 | 2006-06-12 |
| 1417996190 | Sanjay Jain | Pediatrics | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-06 |
| 1730130105 | Sanjay K Jain | Radiology | 1150 Varnum St Ne, Washington, DC 20017-2104 | 2006-05-12 |
| Street Address |
4402 CHURCHMAN AVE STE 408 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-3102 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871019869 | Gi Care Consultants, Pllc | Internal Medicine | 225 Abraham Flexner Way Ste 402, Louisville, KY 40202-1850 | 2017-08-21 |
| 1598039885 | Adolfo Decucco Games | Internal Medicine | 980 W Plum Cir, Louisville, CO 80027-2441 | 2012-03-03 |
| 1336310135 | Kentuckiana Gastroenterology Psc | Internal Medicine | 1003 N Dupont Sq # 9a, Louisville, KY 40207-4612 | 2008-03-19 |
| 1679636120 | Raul Eduardo Cubillas Manrique | Internal Medicine | 382 S Arthur Ave, Louisville, CO 80027-3094 | 2006-12-18 |
| 1376649863 | Frederick J Hardin | Internal Medicine | 2400 Eastpoint Pkwy Ste 350, Louisville, KY 40223-4154 | 2006-09-15 |
| 1053420158 | William B Evans IIi | Internal Medicine | 1169 Eastern Pkwy Ste G58, Louisville, KY 40217-1472 | 2006-08-30 |
| 1912966391 | Narasimharao Vemula | Internal Medicine | 1900 Bluegrass Ave Ste 300, Louisville, KY 40215-1183 | 2006-03-22 |
| 1841299138 | Anand Gupta | Internal Medicine | 1003n Dupont Sq 9a, Louisville, KY 40207 | 2005-07-19 |
| 1235135955 | Laszlo J. Makk | Internal Medicine | 2401 Terra Crossing Blvd Ste 410, Louisville, KY 40245-5371 | 2005-06-27 |
| 1831193275 | Rajesh A Joseph | Internal Medicine | 3999 Dutchmans Ln Ste 7b, Louisville, KY 40207-4742 | 2005-06-13 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
Please comment or provide details below to improve the information on SANJAY K. JAIN.
| 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.