S RANDOLPH SCHEEN III MD PSC INC (NPI# 1932255569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932255569 |
| Entity Type | Organization |
| Organization Name | S RANDOLPH SCHEEN III MD PSC INC |
| Practice Address |
4121 Dutchmans Lane Suite 401 Louisville KY 40207 |
| Practice Telephone | 5028931645 |
| Practice Fax Number | 5028972338 |
| Mailing Telephone | 5028931645 |
| Mailing Fax Number | 5028972338 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SAMUEL RANDOLPH SCHEEN III (OWNER) |
| Authorized Official Telephone | 5028931645 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 21343 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000358728 | 01 | |
| RR MEDICARE | P00204656 DD0297 | 01 |
| Street Address |
4121 DUTCHMANS LANE SUITE 401 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676809 | Kimberly Ann Alumbaugh | Obstetrics & Gynecology | 4121 Dutchmans Lane, Suite 500, Louisville, KY 40207-4730 | 2005-08-16 |
| 1174737290 | Kristi Marie Horlander | Obstetrics & Gynecology | 4121 Dutchmans Lane, Suite 500, Louisville, KY 40207-4730 | 2007-05-09 |
| 1790794691 | Deborah A Brodzik | Physical Therapist | 4121 Dutchmans Lane, Suite 515 Suburban Medical Plaza IIi, Louisville, KY 40207 | 2006-08-07 |
| 1184682056 | Rebecca L Cohen | Family Medicine | 4121 Dutchmans Lane, Ste 301, Louisville, KY 40207 | 2006-05-02 |
| 1518926096 | Robert J Homm | Obstetrics & Gynecology | 4121 Dutchmans Lane, Suite 414, Louisville, KY 40207 | 2006-03-22 |
| 1578548111 | Aimee V Paul | Obstetrics & Gynecology | 4121 Dutchmans Lane, Suite 601, Louisville, KY 40207 | 2005-12-07 |
| 1144204132 | Elena Salerno | Obstetrics & Gynecology | 4121 Dutchmans Lane, Suite 601, Louisville, KY 40207 | 2005-12-02 |
| 1215911219 | Amy M Deeley | Obstetrics & Gynecology | 4121 Dutchmans Lane, Suite 601, Louisville, KY 40207 | 2005-12-02 |
| 1871577957 | Lisa A Crawford | Obstetrics & Gynecology | 4121 Dutchmans Lane, Suite 601, Louisville, KY 40207 | 2005-12-02 |
| 1831173830 | Sarah A. Cawthon | Obstetrics & Gynecology | 4121 Dutchmans Lane, Suite 601, Louisville, KY 40207 | 2005-12-02 |
| Find all providers in the same location | ||||
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225423742 | Virginia Nell Kartha | Dermatology | 3810 Springhurst Blvd Ste 20, Louisville, KY 40241-6162 | 2015-04-01 |
| 1851665038 | Shannon England | Dermatology | 13802 Lake Point Cir, #102, Louisville, KY 40223-4219 | 2012-03-06 |
| 1659640878 | George J. Gataky, P.s.c. | Dermatology | 3 Audubon Plaza Dr Ste 630, Louisville, KY 40217-1362 | 2011-12-16 |
| 1689969735 | Adam C Byrd | Dermatology | 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 | 2011-06-16 |
| 1578745923 | Margaret K Sparks | Dermatology | 10302 Brookridge Village Blvd, Suite 102, Louisville, KY 40291-4475 | 2007-11-28 |
| 1295924520 | Joseph L Thompson Psc | Dermatology | 4010 Dupont Cir Ste 511, Louisville, KY 40207-4888 | 2007-10-23 |
| 1801083431 | Rana Majd Mays | Dermatology | 241 Sears Ave Ste 103, Louisville, KY 40207 | 2007-09-27 |
| 1407972060 | Garrett M Crabtree | Dermatology | 2005 Lake Point Way, Ste 101, Louisville, KY 40223-4236 | 2007-03-22 |
| 1548273733 | Dermatopathology Alliance of Kentucky Pllc | Dermatology | 839 S 2nd St, Louisville, KY 40203-2209 | 2006-08-15 |
| 1518971142 | Shannon M. Mcallister | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2006-07-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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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.