Blake A Isernhagen
RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PSC


Address: 6420 Dutchmans Pkwy, Suite 70, Louisville, KY 40205-3353
Phone: 8592633900

Blake A Isernhagen (NPI# 1336469444, PAC ID# 4082831797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
180143 SAINT JOSEPH EAST
180009 KING'S DAUGHTERS' MEDICAL CENTER
180048 EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER

Other Locations

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

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

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 Information

Organization Legal Name RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PSC
Physicians 12

Physicians with the same organization

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

Office Location

Street Address 6420 DUTCHMANS PKWY
SUITE 70
City LOUISVILLE
State KY
Zip 40205-3353

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City LOUISVILLE
Zip Code 40205
Specialty OPHTHALMOLOGY
City + Specialty LOUISVILLE + OPHTHALMOLOGY

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Dataset Information

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.

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