Blake A Isernhagen (NPI# 1336469444, PAC ID# 4082831797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1336469444 |
PAC ID by PECOS | 4082831797 |
Professional Enrollment ID | I20160920000807 |
Full Name | Blake A Isernhagen |
Organization Legal Name | RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PSC |
Address |
6420 Dutchmans Pkwy Suite 70 Louisville KY 40205-3353 |
Phone Number | 8592633900 |
Gender | M |
Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
Graduation Year | 2010 |
Primary Specialty | OPHTHALMOLOGY |
Group Practice PAC ID | 0749183648 |
Number of Group Practice Members | 13 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180143 | SAINT JOSEPH EAST |
180009 | KING'S DAUGHTERS' MEDICAL CENTER |
180048 | EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
120 N Eagle Creek Dr, Suite 500, Lexington, KY 40509-1827 | 8592633900 | RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PSC |
6420 Dutchmans Pkwy, Suite 70, Louisville, KY 40205-3353 | 8592633900 | RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PSC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PSC |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen Gbejule Odaibo | Ophthalmology | Retina and Vitreous Associates of Kentucky Psc | 2841 Lexington Ave, Ashland, KY 41101-3009 |
Belinda L Shirkey | Ophthalmology | Retina and Vitreous Associates of Kentucky Psc | 440 W Martin Luther King Blvd, Suite 100, Danville, KY 40422-2037 |
Michelle Mary Abou-jaoude | Ophthalmology | Retina and Vitreous Associates of Kentucky Psc | 6420 Dutchmans Pkwy, Suite 70, Louisville, KY 40205-3353 |
Sheila Garcia-santana | Ophthalmology | Retina and Vitreous Associates of Kentucky Psc | 120 N Eagle Creek Dr, Suite 500, Lexington, KY 40509-1827 |
William J Wood | Ophthalmology | Retina and Vitreous Associates of Kentucky Psc | 440 W Martin Luther King Blvd, Suite 100, Danville, KY 40422-2037 |
Thomas William Stone | Ophthalmology | Retina and Vitreous Associates of Kentucky Psc | 13 Village Plz, Shelbyville, KY 40065-1745 |
Stuart R Ball | Ophthalmology | Retina and Vitreous Associates of Kentucky Psc | 6420 Dutchmans Pkwy, Suite 70, Louisville, KY 40205-3353 |
Osama Sabbagh | Ophthalmology | Retina and Vitreous Associates of Kentucky Psc | 6420 Dutchmans Pkwy, Suite 70, Louisville, KY 40205-3353 |
Ricky Don Isernhagen | Ophthalmology | Retina and Vitreous Associates of Kentucky Psc | 440 W Martin Luther King Blvd, Suite 100, Danville, KY 40422-2037 |
Todd J Purkiss | Ophthalmology | Retina and Vitreous Associates of Kentucky Psc | 311 N 3rd St, Bardstown, KY 40004-1507 |
Street Address |
6420 DUTCHMANS PKWY SUITE 70 |
City | LOUISVILLE |
State | KY |
Zip | 40205-3353 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sean F Martindale | Nurse Practitioner | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
Michelle Mary Abou-jaoude | Ophthalmology | Retina and Vitreous Associates of Kentucky Psc | 6420 Dutchmans Pkwy, Suite 70, Louisville, KY 40205-3353 |
Sean Matthew Miller | Otolaryngology | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
Sameet S Sohi | Otolaryngology | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
Matthew P Rogers | Internal Medicine | Komg-louisville Region Inc | 6420 Dutchmans Pkwy, Suite 165, Louisville, KY 40205-3353 |
Kerrie Michelle Roberts | Qualified Audiologist | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
Molloy G Veal | Internal Medicine | 6420 Dutchmans Pkwy, Suite 195, Louisville, KY 40205-3363 | |
Melanie J Spann | Qualified Audiologist | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
Sarah K Hunt | Qualified Audiologist | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
Richard Eiferman | Ophthalmology | 6420 Dutchmans Pkwy, Suite 85, Louisville, KY 40205-3372 | |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathy A Nieder | Family Medicine | Baptist Health Medical Group Inc | 1603 Stevens Ave, Louisville, KY 40205-1087 |
Jennifer Caskey | Nurse Practitioner | Baptist Health Medical Group Inc | 1603 Stevens Ave, Louisville, KY 40205-1087 |
Terry S Weiss | Family Medicine | Baptist Health Medical Group Inc | 1603 Stevens Ave, Louisville, KY 40205-1087 |
Susan D Jewell | Nurse Practitioner | Baptist Health Medical Group Inc | 1603 Stevens Ave, Louisville, KY 40205-1087 |
Charles E Copeland | Chiropractic | 1525 Bardstown Rd, Louisville, KY 40205-1109 | |
Michael Martorana | Optometry | 1562 Bardstown Rd, Louisville, KY 40205-1155 | |
Linda M Block-coalter | Clinical Social Worker | 1646 Cowling Ave, Louisville, KY 40205-1370 | |
Deborah Ann Zinsius | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 2100 Millvale Rd, Louisville, KY 40205-1604 |
Wendi L Whitworth | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 2100 Millvale Rd, Louisville, KY 40205-1604 |
Ashley Mckinney | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 2100 Millvale Rd, Louisville, KY 40205-1604 |
Find all physicians in zip 40205 |
City | LOUISVILLE |
Zip Code | 40205 |
Specialty | OPHTHALMOLOGY |
City + Specialty | LOUISVILLE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Blake A Isernhagen.
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.