DR. DAVID MCCONDA (NPI# 1962713362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962713362 |
| Entity Type | Individual |
| Full Name | DR. DAVID MCCONDA |
| Credential | MD |
| Practice Address |
4331 Churchman Ave Ste 101 Louisville KY 40215-1164 |
| Practice Telephone | 5023640902 |
| Practice Fax Number | 5023640099 |
| Mailing Telephone | 5023640902 |
| Mailing Fax Number | 5023640099 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 01082756A | IN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 50001 | KY | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
01082756A | IN | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
50001 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1962713362 | 05 | |
| KY | 7100485900 | 05 | |
| IN | 300038268 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8620 Biggin Hill Ln, Louisville, KY 402204117 | 5023640902 | 5023640099 |
| Street Address |
4331 CHURCHMAN AVE STE 101 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-1164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982695177 | Ernest A Eggers | Orthopaedic Surgery | 4331 Churchman Ave Ste 101, Louisville, KY 40215-1164 | 2005-11-04 |
| 1417599820 | Christopher Michael Swift | Nurse Practitioner | 4331 Churchman Ave Ste 101, Louisville, KY 40215-1164 | 2019-10-17 |
| 1932757440 | Sarah J Zurkuhlen | Nurse Practitioner | 4331 Churchman Ave Ste 101, Louisville, KY 40215-1164 | 2019-08-28 |
| 1669738506 | Tyler James Keller | Orthopaedic Surgery | 4331 Churchman Ave Ste 101, Louisville, KY 40215 | 2012-04-04 |
| 1013294842 | Devan Allen Ward | Physician Assistant | 4331 Churchman Ave Ste 101, Louisville, KY 40215-1164 | 2011-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982879607 | Jeffrey Lynn Gum | Orthopaedic Surgery | 210 East Gray Street, Louisville, KY 40202-1902 | 2008-04-23 |
| 1518967371 | Michael Thomas Casnellie | Orthopaedic Surgery | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2005-07-22 |
| 1316942006 | David P Rouben | Orthopaedic Surgery | 8620 Biggin Hill Ln, Louisville, KY 40220 | 2005-06-17 |
| 1972119220 | Joseph Morreale Md | Orthopaedic Surgery | 90 Health Park Dr Ste 130, Louisville, CO 80027-9586 | 2020-09-22 |
| 1073133054 | Joseph Laratta Md Spine Surgeon, LLC | Orthopaedic Surgery | 1169 Eastern Pkwy Ste 400, Louisville, KY 40217-1412 | 2020-04-20 |
| 1760995443 | David P Rouben Md Psc | Orthopaedic Surgery | 8620 Biggin Hill Ln, Louisville, KY 40220 | 2017-11-16 |
| 1821507005 | Mikhail Lew Perez Ver | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2017-09-20 |
| 1982019998 | Kimona Issa | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2014-06-27 |
| 1891058335 | Fabian Carballo Madrigal | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2012-06-20 |
| 1871852640 | University Orthopaedic Departmental Entity Inc | Orthopaedic Surgery | 530 S Jackson St, Louisville, KY 40202-1675 | 2012-05-14 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
Please comment or provide details below to improve the information on DR. DAVID MCCONDA.
| 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.