DR. PATRICK MICHAEL MCKIERNAN (NPI# 1932576618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932576618 |
| Entity Type | Individual |
| Full Name | DR. PATRICK MICHAEL MCKIERNAN |
| Credential | PHD |
| Practice Address |
422 Heywood Ave Louisville KY 40208-1346 |
| Practice Telephone | 5024399210 |
| Practice Fax Number | 5026352297 |
| Mailing Telephone | 5024399210 |
| Mailing Fax Number | 5026352297 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0062 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346693116 | Patrick James Mckiernan | Pediatrics | 4401 Penn Ave, Gastroenterology, Hepatology and Nutrition, Pittsburgh, PA 15224-1334 | 2016-07-18 |
| Street Address |
422 HEYWOOD AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40208-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225000490 | Sara Elizabeth Robertson | Nurse Practitioner | 422 Heywood Ave, Louisville, KY 40208-1346 | 2006-02-02 |
| 1922333251 | Dedra Hayden | Nurse Practitioner | 422 Heywood Ave, Louisville, KY 40208-1346 | 2009-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447784764 | Emmanuel Nwaogu | Nurse Practitioner | 720 West Hill St, Norton Louisville Primary Care, Louisville, KY 40208 | 2017-04-13 |
| 1295277226 | Ausi Transort, LLC | Non-emergency Medical Transport (VAN) | 1907-c S 4th St, Louisville, KY 40208 | 2016-11-08 |
| 1962954198 | Daniel Thomas | Specialist/Technologist | 1514 Central Avenue, Louisville, KY 40208 | 2016-11-04 |
| 1720321185 | Moiz Ahmad Khan | Student in an Organized Health Care Education/Training Program | 619 Montana Ave, Louisville, KY 40208 | 2013-04-03 |
| 1831140771 | Rebecca P Pirkle | Nurse Practitioner | 215 Central Station, 102, Louisville, KY 40208 | 2006-05-15 |
| 1689231375 | Jennifer Hofelich | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2019-05-29 |
| 1902283609 | Ashley Mefford Iles | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-05-01 |
| 1063808137 | Sean Warren | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-04-15 |
| 1962892125 | Catherine Leigh Stone | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2015-01-27 |
| 1659636199 | Robbie Brewer Blair | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2012-07-11 |
| Find all providers in zip 40208 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496569 | Nicole Kristina Doza | Counselor | 9720 Park Plaza Ave Unit 104, Louisville, KY 40241-2289 | 2020-08-06 |
| 1447860572 | Jordan Mceuen | Counselor | 645 S Roy Wilkins Ave Ste 100, Louisville, KY 40203-2072 | 2020-08-04 |
| 1023633674 | Ky Behavioral Solutions | Counselor | 12700 Townepark Way Ste 341, Louisville, KY 40243-2381 | 2020-06-10 |
| 1386284214 | Aa&associates of Kentucky LLC | Counselor | 3038 Breckenridge Ln Ste 204, Louisville, KY 40220-2195 | 2020-01-08 |
| 1861039661 | Campbellsville University | Counselor | 4420 Dixie Hwy Ste 230, Louisville, KY 40216-2986 | 2019-11-30 |
| 1720642374 | Yolanda Carnessali-powell | Counselor | 1448 S 15th St, Louisville, KY 40210-1838 | 2019-04-30 |
| 1538622295 | Stephanie Amber Gentile | Counselor | 1169 Eastern Pkwy Ste 1124, Louisville, KY 40217-1462 | 2019-04-10 |
| 1881166999 | Aileen M Bryant-wales | Counselor | 2133 W Market St, Louisville, KY 40212-1532 | 2018-12-31 |
| 1043710338 | Erin Dawn Jarrett | Counselor | 1939 Goldsmith Ln Ste 147, Louisville, KY 40218-3047 | 2018-02-13 |
| 1265946859 | Yolonda J Armstead | Counselor | 12730 Townepark Way Ste 201, Louisville, KY 40243-2303 | 2017-11-19 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40208 |
Please comment or provide details below to improve the information on DR. PATRICK MICHAEL MCKIERNAN.
| 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.