DAVID G CHANGARIS (NPI# 1922076728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922076728 |
| Entity Type | Individual |
| Full Name | DAVID G CHANGARIS |
| Credential | MD |
| Practice Address |
801 Barret Ave Suite 103 Louisville KY 40204-1747 |
| Mailing Address |
204 N 17th St Louisville KY 40203-1212 |
| Practice Telephone | 5025846852 |
| Mailing Telephone | 5024459471 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
23169 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
801 BARRET AVE SUITE 103 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40204-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193788 | Barbara S. Isaacs | Allergy & Immunology | 801 Barret Ave, Ste 110, Louisville, KY 40204-1732 | 2005-06-09 |
| 1023435823 | Rakutt and Payne Dental Psc | Dentist | 801 Barret Ave, Louisville, KY 40204-1747 | 2014-03-19 |
| 1396964151 | Affinity Rehabilitation, Inc. | Clinic/Center | 801 Barret Ave, Suite 220, Louisville, KY 40204-1747 | 2007-04-24 |
| 1639248578 | Tender Pain Care Clinic, Psc | Internal Medicine | 801 Barret Ave, Suite 104, Louisville, KY 40204-1747 | 2006-11-07 |
| 1265512719 | Beverly M Gaines, Md & Associates, Psc | Physician Assistant | 801 Barret Ave, Suite 314, Louisville, KY 40204-1747 | 2006-10-17 |
| 1205924446 | Bb Borkar Psc | Internal Medicine | 801 Barret Ave, #301, Louisville, KY 40204 | 2006-10-11 |
| 1215038997 | Sheri A Kalbfleisch | Dermatology | 801 Barret Ave, Suite 222, Louisville, KY 40204 | 2006-09-26 |
| 1730297037 | Terry Lee Davis | Specialist | 801 Barret Ave, Suite 104, Louisville, KY 40204-1747 | 2006-08-27 |
| 1285681312 | Mazen Khayat Jr. | Internal Medicine | 801 Barret Ave, Suite 104, Louisville, KY 40204-1747 | 2006-05-26 |
| 1437133121 | Jerry Michael Benfield Jr. | Internal Medicine | 801 Barret Ave, Ste 112, Louisville, KY 40204 | 2005-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
| 1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
| 1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
| 1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
| 1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
| 1710072137 | Sandra L. Payne | Dentist | John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 | 2006-10-03 |
| 1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
| 1902854334 | Kevin B Spicer | Pediatrics | 834 E Broadway, Louisville, KY 40204 | 2006-05-05 |
| 1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
| Find all providers in zip 40204 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700156353 | University of Louisville Physicians | Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2012-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528299765 | Rudy Jewan Judhan | Surgery | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2009-08-05 |
| 1780846592 | Joshua M Judge | Surgery | 800 Rose St, C224, Lexington, KY 40536-7001 | 2008-07-02 |
| 1962528067 | Graham Dean Englund | Surgery | 1698 Old Lebanon Rd, Suite 2a, Campbellsville, KY 42718-9662 | 2007-03-21 |
| City | LOUISVILLE |
| Zip Code | 40204 |
Please comment or provide details below to improve the information on DAVID G CHANGARIS.
| 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.