Spencer R Idstein (NPI# 1205194693, PAC ID# 1951551431) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1205194693 |
| PAC ID by PECOS | 1951551431 |
| Professional Enrollment ID | I20160912001660 |
| Full Name | Spencer R Idstein |
| Organization Legal Name | INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES, PSC |
| Address |
7101w Hwy 22 Crestwood KY 40014-9086 |
| Phone Number | 5022416567 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991737314 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180138 | BAPTIST HEALTH LAGRANGE |
| 180130 | BAPTIST HEALTH LOUISVILLE |
| 180088 | NORTON HOSPITALS, INC |
| Address | Phone | Organization |
|---|---|---|
| 7101w Hwy 22, Crestwood, KY 40014-9086 | 5022416567 | INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES, PSC |
| Organization Legal Name | INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES, PSC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Brown Strecker | Internal Medicine | Internal Medicine and Pediatric Associates, Psc | 7101w Hwy 22, Crestwood, KY 40014-9086 |
| Ilana C Kayrouz | Internal Medicine | Internal Medicine and Pediatric Associates, Psc | 7101w Hwy 22, Crestwood, KY 40014-9086 |
| Anthony G Karem | Internal Medicine | Internal Medicine and Pediatric Associates, Psc | 7101w Hwy 22, Crestwood, KY 40014-9086 |
| Street Address |
7101W HWY 22 |
| City | CRESTWOOD |
| State | KY |
| Zip | 40014-9086 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Brown Strecker | Internal Medicine | Internal Medicine and Pediatric Associates, Psc | 7101w Hwy 22, Crestwood, KY 40014-9086 |
| Ilana C Kayrouz | Internal Medicine | Internal Medicine and Pediatric Associates, Psc | 7101w Hwy 22, Crestwood, KY 40014-9086 |
| Anthony G Karem | Internal Medicine | Internal Medicine and Pediatric Associates, Psc | 7101w Hwy 22, Crestwood, KY 40014-9086 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathy J Pansegrau | Chiropractic | 6402 Westwind Way, Suite 5, Crestwood, KY 40014-6772 | |
| Jasen T Pedersen | Podiatry | 6400 Westwind Way, Suite B, Crestwood, KY 40014-6773 | |
| Anupa Mandava | Ophthalmology | Eye Centers of Louisville Psc | 6400 Westwind Way, Crestwood, KY 40014-6773 |
| Julia Elizabeth Pennington | Nurse Practitioner | Positive Connections, Pllc | 6813 W Hwy 22, Crestwood, KY 40014-7007 |
| Elizabeth Behr Runyon | Certified Clinical Nurse Specialist (cns) | Positive Connections, Pllc | 6813 W Hwy 22, Crestwood, KY 40014-7007 |
| Alan R Gould | Oral Surgery | 5805 W Hwy 22, Crestwood, KY 40014-7244 | |
| Sarah E Gold | Physical Therapy | Baptist Health Medical Group Inc | 6580 Kenwood Crossing Rd, Crestwood, KY 40014-7614 |
| Susanna Stralina | Physical Therapy | Baptist Health Medical Group Inc | 6580 Kenwood Crossing Rd, Crestwood, KY 40014-7614 |
| Alicia D Nay | Physical Therapy | Baptist Health Medical Group Inc | 6580 Kenwood Crossing Rd, Crestwood, KY 40014-7614 |
| Amy N Head | Nurse Practitioner | Baptist Health Medical Group Inc | 6580 Kenwood Crossing Rd, Crestwood, KY 40014-7614 |
| Find all physicians in zip 40014 | |||
| City | CRESTWOOD |
| Zip Code | 40014 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CRESTWOOD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Spencer R Idstein.
| 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.