Romeo S Ambrosio (NPI# 1194847871, PAC ID# 0143314633) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
Nation Provider ID (NPI) | 1194847871 |
PAC ID by PECOS | 0143314633 |
Professional Enrollment ID | I20070914000034 |
Full Name | Romeo S Ambrosio |
Organization Legal Name | PARK DUVALLE COMMUNITY HEALTH CENTER, INC |
Address |
3015 Wilson Ave Louisville KY 40211-1969 |
Phone Number | 5027744401 |
Gender | M |
Medical School | MOREHOUSE SCHOOL OF MEDICINE |
Graduation Year | 1997 |
Primary Specialty | OBSTETRICS/GYNECOLOGY |
Secondary Specialties | FAMILY MEDICINE |
Group Practice PAC ID | 1658268974 |
Number of Group Practice Members | 26 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180088 | NORTON HOSPITALS, INC |
Address | Phone | Organization |
---|---|---|
3015 Wilson Ave, Louisville, KY 40211-1969 | 5027744401 | PARK DUVALLE COMMUNITY HEALTH CENTER, INC |
5601 S 3rd St, Fl 2, Louisville, KY 40214-2615 | 5026291515 | COMMUNITY MEDICAL ASSOCIATES INC |
825 Barret Ave, Louisville, KY 40204-1743 | 5022725165 | COMMUNITY MEDICAL ASSOCIATES INC |
Organization Legal Name | PARK DUVALLE COMMUNITY HEALTH CENTER, INC |
Physicians | 29 |
Name | Specialty | Organization | Address |
---|---|---|---|
Miasha Renee Crutchfield | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Kellye Singletary | Psychiatry | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
Sharon S Jamison | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 501 Taylorsville Rd, Taylorsville, KY 40071-6766 |
Christopher John Florio | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
James Jerome Robinson | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 501 Taylorsville Rd, Taylorsville, KY 40071-6766 |
Lauren Slone | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 501 Taylorsville Rd, Taylorsville, KY 40071-6766 |
Lisa G Glass | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Dejuana N Frazier | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Erica Mahone | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
Gina M Beckford | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Street Address |
3015 WILSON AVE |
City | LOUISVILLE |
State | KY |
Zip | 40211-1969 |
Name | Specialty | Organization | Address |
---|---|---|---|
Miasha Renee Crutchfield | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Lisa G Glass | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Dejuana N Frazier | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Gina M Beckford | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Kimberly E Mitchell | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Jean Bramer | Obstetrics/gynecology | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Fe N Briones | Internal Medicine | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Michelle L Davidson | Clinical Social Worker | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Borru M Liou | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Cicely M Hamilton | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Cynthia C Mahin | Family Practice | Jencare Neighborhood Medical Center West Broadway, LLC | 2406 W Broadway, Louisville, KY 40211-1008 |
John W Arnett | Internal Medicine | Cypress Medical Associates, Psc | 2500 W Broadway, Suite 200, Louisville, KY 40211-1191 |
Reeson Earl Flores | Chiropractic | 2500 W Broadway, Suite 500, Louisville, KY 40211-1194 | |
Shannon L Hines | Clinical Social Worker | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Melissa Hines | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Arifa Siddiqui | Family Medicine | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Laretta V Dodson | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Fritz Moise | Family Practice | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Rebecca Pierson | Obstetrics/gynecology | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Krista G Roach | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
Find all physicians in zip 40211 |
City | LOUISVILLE |
Zip Code | 40211 |
Specialty | OBSTETRICS/GYNECOLOGY |
City + Specialty | LOUISVILLE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Romeo S Ambrosio.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.