Ivan A Calderon (NPI# 1043453749, PAC ID# 0648427435) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043453749 |
| PAC ID by PECOS | 0648427435 |
| Professional Enrollment ID | I20120830000118 |
| Full Name | Ivan A Calderon |
| Organization Legal Name | KOMG-LOUISVILLE REGION INC |
| Address |
5100 Outer Loop Louisville KY 40219-3023 |
| Phone Number | 5029686226 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5799021259 |
| Number of Group Practice Members | 293 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
| 180088 | NORTON HOSPITALS, INC |
| Address | Phone | Organization |
|---|---|---|
| 5100 Outer Loop, Louisville, KY 40219-3023 | 5029686226 | KOMG-LOUISVILLE REGION INC |
| Organization Legal Name | KOMG-LOUISVILLE REGION INC |
| Physicians | 228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Troutman | Nurse Practitioner | Komg-louisville Region Inc | 908 Dupont Rd, Louisville, KY 40207-4602 |
| Jamie L Greenert | Nurse Practitioner | Komg-louisville Region Inc | 4423 Bardstown Rd, Louisville, KY 40218-3235 |
| Crystal N Weathers | Nurse Practitioner | Komg-louisville Region Inc | 8111 Bardstown Rd, Louisville, KY 40291-3441 |
| Lindsey Winfield | Nurse Practitioner | Komg-louisville Region Inc | 1607 Dixie Hwy, Louisville, KY 40210-1745 |
| Melissa R Lamaster | Nurse Practitioner | Komg-louisville Region Inc | 9569 Taylorsville Rd, Suite 109, Louisville, KY 40299-2751 |
| Sara A Miller | Nurse Practitioner | Komg-louisville Region Inc | 1900 Bluegrass Ave, Suite 300, Louisville, KY 40215-1183 |
| Christopher D Combs | Internal Medicine | Komg-louisville Region Inc | 175 S English Station Rd, Suite 226, Louisville, KY 40245-4199 |
| Christopher John Theuer | General Surgery | Komg-louisville Region Inc | 60 Stonecrest Ct, Suite 140, Shelbyville, KY 40065-8156 |
| John N Olsofka | General Surgery | Komg-louisville Region Inc | 4402 Churchman Ave, Louisville, KY 40215-1190 |
| Nison I Abayev | Family Medicine | Komg-louisville Region Inc | 10300 Dixie Hwy, Louisville, KY 40272-3952 |
| Street Address |
5100 OUTER LOOP |
| City | LOUISVILLE |
| State | KY |
| Zip | 40219-3023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kamara E Garner | Family Medicine | Komg-louisville Region Inc | 5100 Outer Loop, Louisville, KY 40219-3023 |
| Maneesh Mohan | Oral Surgery | 5100 Outer Loop, Suite B, Louisville, KY 40219-4056 | |
| Charla J Froman Glover | Nurse Practitioner | Komg-louisville Region Inc | 5100 Outer Loop, Louisville, KY 40219-3023 |
| Mark T Winders | Family Medicine | Komg-louisville Region Inc | 5100 Outer Loop, Louisville, KY 40219-3023 |
| Marcelo E Venegas | Nurse Practitioner | Komg-louisville Region Inc | 5100 Outer Loop, Louisville, KY 40219-3023 |
| Mina Bear | Nurse Practitioner | Komg-louisville Region Inc | 5100 Outer Loop, Louisville, KY 40219-3023 |
| Michael D Becker | Family Medicine | Komg-louisville Region Inc | 5100 Outer Loop, Louisville, KY 40219-3023 |
| Waqar Saleem | Family Medicine | Komg-louisville Region Inc | 5100 Outer Loop, Louisville, KY 40219-3023 |
| Wanda L Schlaug | Nurse Practitioner | Komg-louisville Region Inc | 5100 Outer Loop, Louisville, KY 40219-3023 |
| Elizabeth F Rouse Wong | Family Medicine | Komg-louisville Region Inc | 5100 Outer Loop, Louisville, KY 40219-3023 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monita Chary | Internal Medicine | Ravi Chary Md Pllc | 6500 Preston Hwy, Louisville, KY 40219-1820 |
| Ravi M Chary | Internal Medicine | Ravi Chary Md Pllc | 6500 Preston Hwy, Louisville, KY 40219-1820 |
| Rachel Weedman | Nurse Practitioner | Midwest Geriatrics | 3625 Fern Valley Rd, Louisville, KY 40219-1916 |
| Charles W Dinwiddie | Chiropractic | 5129 Acapolca Way, Louisville, KY 40219-2116 | |
| Marcel M Quinones | Chiropractic | 7401 Preston Hwy, Louisville, KY 40219-2755 | |
| John W Wheatley | Family Medicine | Komg-louisville Region Inc | 5100 Outer Loop, Louisville, KY 40219-3023 |
| Frida Bianco | Chiropractic | Preston Chiropractic and Rehabilitation LLC | 7707 Preston Hwy, Louisville, KY 40219-3138 |
| Massimo Bianco | Chiropractic | Preston Chiropractic and Rehabilitation LLC | 7707 Preston Hwy, Louisville, KY 40219-3138 |
| Jonathan Franklin Hitchcock | Chiropractic | Preston Chiropractic and Rehabilitation LLC | 7707 Preston Hwy, Louisville, KY 40219-3138 |
| John A Lach Jr. | Family Medicine | 7702 Preston Hwy, Suite A, Louisville, KY 40219-3139 | |
| Find all physicians in zip 40219 | |||
| City | LOUISVILLE |
| Zip Code | 40219 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LOUISVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ivan A Calderon.
| 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.