KENTUCKY CARDIOTHORACIC SURGERY PLLC (NPI# 1871640201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871640201 |
| Entity Type | Organization |
| Organization Name | KENTUCKY CARDIOTHORACIC SURGERY PLLC |
| Practice Address |
3900 Kresge Way Suite 46 Louisville KY 40207-4660 |
| Mailing Address |
Po Box 7565 Louisville KY 40257-0565 |
| Practice Telephone | 5028108002 |
| Practice Fax Number | 5028108002 |
| Mailing Telephone | 5028108002 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2010-10-26 |
| Authorized Official Name | DR. SAMUEL B POLLOCK JR. (OWNER) |
| Authorized Official Telephone | 5028108002 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 0543246 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65937914 | 05 | |
| KY | 9590074200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063623619 | Kentucky Cardiothoracic Surgery Pllc | Physician Assistant | 3900 Kresge Way, Louisville, KY 40207-4660 | 2007-05-25 |
| Street Address |
3900 KRESGE WAY SUITE 46 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032014 | Anthony George Jr. | Specialist | 3900 Kresge Way, Suite 31, Louisville, KY 40207-4660 | 2005-06-09 |
| 1821649849 | Amanda Hellmueller | Nurse Practitioner | 3900 Kresge Way, Louisville, KY 40207-4660 | 2019-09-20 |
| 1063948677 | Lyndsay P Delaney | Nurse Practitioner | 3900 Kresge Way, Suite 46, Louisville, KY 40207-4660 | 2017-05-03 |
| 1902343957 | Susette R Roark | Nurse Practitioner | 3900 Kresge Way, Ste 46, Louisville, KY 40207-4660 | 2017-01-30 |
| 1194198077 | Emily Dubois Hollander | Midwife | 3900 Kresge Way, Suite 30, Louisville, KY 40207-4660 | 2015-11-02 |
| 1932503919 | Rose Ballard | Nurse Practitioner | 3900 Kresge Way, Suite 56, Louisville, KY 40207-4660 | 2014-10-20 |
| 1508104258 | Tabitha Satterly-welborn | Nurse Practitioner | 3900 Kresge Way, Suite 46, Louisville, KY 40207-4660 | 2013-01-30 |
| 1023361003 | Kristen Rae Hord | Physician Assistant | 3900 Kresge Way, Ste 30, Louisville, KY 40207-4660 | 2012-10-16 |
| 1710238001 | Kaitlin Sullivan | Physician Assistant | 3900 Kresge Way, Suite 30, Louisville, KY 40207-4660 | 2012-09-26 |
| 1538415070 | Diana Blevins | Nurse Practitioner | 3900 Kresge Way, Ste.46, Louisville, KY 40207-4660 | 2012-08-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982020418 | Abdulla Attum Md Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 332 W Broadway Ste 404, Louisville, KY 40202-2116 | 2014-03-07 |
| 1578988408 | Paul Anthony Spence | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5818 Orion Rd, Louisville, KY 40222-5976 | 2014-03-01 |
| 1194914911 | Zahi Hamdi Masri | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5308 Indian Crest Rd, Louisville, KY 40207-1676 | 2007-10-17 |
| 1275670556 | Angela L Mahan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4003 Kresge Way Ste 224, Louisville, KY 40207 | 2007-01-30 |
| 1477609154 | Deborah Kozik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202 | 2007-01-26 |
| 1821004367 | Ronald N Barbie | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 250 East Liberty St, Suite 900, Louisville, KY 40202-1538 | 2006-08-01 |
| 1972564268 | George J Mikos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3 Audubon Plaza Dr Ste 560, Louisville, KY 40217-1376 | 2006-03-28 |
| 1982608543 | Lawrence G. Goldberg | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2005-06-10 |
| 1578807632 | Bahaaldin Alsoufi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202-3841 | 2012-11-15 |
| 1710230180 | Dowling Consulting Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 250 E Liberty St, Suite 900, Louisville, KY 40202-1530 | 2012-10-22 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on KENTUCKY CARDIOTHORACIC SURGERY PLLC.
| 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.