DR. SHOBHA CHENNUBHOTLA (NPI# 1750473872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750473872 |
Entity Type | Individual |
Full Name | DR. SHOBHA CHENNUBHOTLA |
Credential | MD |
Practice Address |
800 Zorn Ave Louisville KY 40206-1433 |
Mailing Address |
3702 Wynbrooke Cir Louisville KY 40241-3050 |
Practice Telephone | 5022874000 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
37384 | KY | Allopathic & Osteopathic Physicians |
Street Address |
800 ZORN AVE |
City | LOUISVILLE |
State | KY |
Zip Code | 40206-1433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609879162 | Leah D Phillips-black | Nurse Practitioner | 800 Zorn Ave, Louisville, KY 40206-1433 | 2005-05-27 |
1477150464 | Erika Alexandra Belloso Gonzalez | Dietitian, Registered | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-10-03 |
1871100180 | Allana Boone | Dietitian, Registered | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-30 |
1245847458 | Ellyn Schill | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-30 |
1750996377 | Shirley Ann Willis | Recreation Therapist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-10 |
1902411523 | Sarah Michelle Mizell | Recreation Therapist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-10 |
1477171171 | Kimberly Williams | Clinic/Center | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-07-08 |
1851918817 | Jessica Christine Piercy | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-25 |
1477179851 | Kayla Janbakhsh | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-22 |
1396369179 | Sydney Elizabeth Sims | Physician Assistant | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
1023547460 | Jeffrey Obiora | Student in an Organized Health Care Education/Training Program | 500 South Preston St, Room 305, Lousiville, KY 40206 | 2017-06-08 |
1053840710 | Mary Oliver Humke | Lactation Consultant, Non-RN | 155 N Galt Ave, Louisville, KY 40206 | 2017-06-07 |
1417304908 | James Edward Meffert Sr. | Dentist | 1618 Story Ave. (home/office Setting), Louisville, KY 40206 | 2016-05-16 |
1235516527 | Jara Nashelle Vega Velez | Internal Medicine | 800 Zorn Ave Dept Of, Louisville, KY 40206 | 2015-05-06 |
1184058885 | Reba D Ziller | Occupational Therapist | 4604 Lowe Road, Regis Woods Rehab Center, Louisville, KY 40206 | 2013-08-29 |
1407109176 | Jessica L Hoback | Physical Therapy Assistant | 2141 Sycamore Avenue, Louisville, KY 40206 | 2012-10-18 |
1598039315 | Mary Barbara Sowers | Emergency Medicine | 611 Emery Rd, Louisville, KY 40206 | 2012-02-24 |
1053628479 | Adrian J Pellegrini Md | Nurse Practitioner | 170 Crescent Ave, Louisville, KY 40206 | 2010-09-07 |
1518297761 | Kiley Nontell Mcneill | Behavioral Analyst | 1100 East Market St., Louisville, KY 40206 | 2010-01-12 |
Find all providers in zip 40206 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083197388 | Pmr Us Holdings, LLC | Family Medicine | 3939 7th Street Rd, Louisville, KY 40216-4103 | 2018-09-12 |
1508288572 | University of Louisville Research Foundation Inc | Family Medicine | 401 E Chestnut St, Suite 170, Louisville, KY 40202-5700 | 2014-01-10 |
1497186639 | University of Louisville Research Foundation | Family Medicine | 1941 Bishop Ln, Suite 900, Louisville, KY 40218-1922 | 2013-12-12 |
1376974725 | University of Louisville Research Foundation | Family Medicine | 530 S Jackson St, Louisville, KY 40202-1675 | 2013-12-11 |
1073879755 | University of Louisville Physicians, Inc. | Family Medicine | 215 Central Ave, Suite 102, Louisville, KY 40208-1449 | 2012-04-06 |
1619003951 | Laura Morton | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2007-02-23 |
1114064912 | U of L Research Foundation | Family Medicine | 501 E Broadway, Ste 120, Louisville, KY 40202-1785 | 2007-01-31 |
1083771281 | Bhagyalaxmi Rudravaram | Family Medicine | 550 S Jackson St, First Floor, Louisville, KY 40202-1622 | 2007-01-03 |
1679594329 | Josephine P Gomes | Family Medicine | 1941 Bishop Ln Ste 900, Louisville, KY 40218 | 2006-07-21 |
1528086733 | John C. Wright | Family Medicine | 701 S Hancock St, Louisville, KY 40203-2425 | 2006-07-17 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40206 |
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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.