MR. JOHN T DVORAK (NPI# 1902807985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902807985 |
Entity Type | Individual |
Full Name | MR. JOHN T DVORAK |
Credential | MD |
Practice Address |
2620 Wilhite Dr Lexington KY 40503-3385 |
Practice Telephone | 8592786031 |
Practice Fax Number | 8592777015 |
Mailing Telephone | 8592786031 |
Mailing Fax Number | 8592777015 |
Enumeration Date | 2005-08-02 |
Last Update Date | 2010-09-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208C00000X | Colon & Rectal Surgery | 36525 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64035256 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093755969 | John Andrew Dvorak | Ophthalmology | 109 Doctors Park, Saint Cloud, MN 56303 | 2006-06-07 |
Street Address |
2620 WILHITE DR |
City | LEXINGTON |
State | KY |
Zip Code | 40503-3385 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891790697 | Bruce M Belin | Colon & Rectal Surgery | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2005-06-17 |
1972017663 | Amy Lorraine Nutrition | Dietitian, Registered | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2017-11-17 |
1396260931 | Colorectal Surgical & Gastroenterology Associates Psc | Clinic/Center | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2017-08-04 |
1679990246 | Amy Lorraine Camenisch | Dietitian, Registered | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2014-03-21 |
1093998239 | Thomas Charles Knopp | Internal Medicine | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2007-12-11 |
1386853190 | Jennifer D Rea | Colon & Rectal Surgery | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2007-05-21 |
1629105291 | Laboratory Corporation of America | Clinical Medical Laboratory | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2007-02-28 |
1891865135 | Nathan Heflin Massey | Internal Medicine | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2006-11-08 |
1780753152 | Stephen Paul Schindler | Internal Medicine | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2006-11-07 |
1114018264 | Trina Jacobs | Speech-Language Pathologist | 2620 Wilhite Dr, Suite 222, Lexington, KY 40503-3385 | 2006-09-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
Find all providers in zip 40503 |
Taxonomy Code | 208C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Colon & Rectal Surgery |
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750382677 | Colorectal Surgical & Gastroenterology Associates Psc | Colon & Rectal Surgery | 2620 Wilhite Drive, Lexington, KY 40503-3385 | 2005-08-02 |
1891790697 | Bruce M Belin | Colon & Rectal Surgery | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2005-06-17 |
1386853190 | Jennifer D Rea | Colon & Rectal Surgery | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2007-05-21 |
1821047549 | Alfred Cohen | Colon & Rectal Surgery | 740 South Limestone, Lexington, KY 40536-0001 | 2006-05-09 |
1316948664 | Charles L Papp | Colon & Rectal Surgery | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2005-08-09 |
1053312041 | John M Fox | Colon & Rectal Surgery | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2005-08-02 |
1669472593 | David J Svetich | Colon & Rectal Surgery | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2005-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881988582 | Clayton Tyler Ellis | Colon & Rectal Surgery | Ulp Colorectal Surgery, 401 East Chestnut Street, #710, Louisville, KY 40202-5707 | 2011-05-31 |
1720387079 | Michelle C Julien | Colon & Rectal Surgery | 1000 Dupont Rd Ste A, Louisville, KY 40207-4611 | 2011-03-24 |
1164570867 | Sandra L. Kavalukas | Colon & Rectal Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2007-01-08 |
1649366196 | Louisville Colorectal Associates LLC | Colon & Rectal Surgery | 250 East Liberty Street, Suite 610, Louisville, KY 40202-1536 | 2006-10-04 |
1922039023 | Wayne Tuckson | Colon & Rectal Surgery | 3920 Dutchmans Ln Ste 315, Louisville, KY 40207-4702 | 2006-07-06 |
1922001833 | Colorectal Care of Northern Ky, Pllc | Colon & Rectal Surgery | 2865 Chancellor Dr, Ste 215, Crestview Hills, KY 41017-3912 | 2005-05-24 |
1225470479 | Gabie K Ong | Colon & Rectal Surgery | 613 23rd St Ste 320, Ashland, KY 41101-2877 | 2013-07-29 |
1568732097 | University of Louisville Physicians, Inc. | Colon & Rectal Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2011-12-30 |
1205034154 | Raymond E. Pierce,jr.,m.d.,p.s.c. | Colon & Rectal Surgery | 3950 Kresge Way, Suite 201, Louisville, KY 40207-4637 | 2007-07-03 |
1003892472 | Kelli M. Bullard Dunn | Colon & Rectal Surgery | 401 E Chestnut St, Suite 710, Louisville, KY 40202-5700 | 2005-12-19 |
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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.