Charles R Prince (NPI# 1861429615, PAC ID# 4789627845) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1861429615 |
| PAC ID by PECOS | 4789627845 |
| Professional Enrollment ID | I20050614000219 |
| Full Name | Charles R Prince |
| Organization Legal Name | KOMG-LOUISVILLE REGION INC |
| Address |
1900 Bluegrass Ave Suite 103 Louisville KY 40215-1144 |
| Phone Number | 5025367450 |
| Gender | M |
| Credential | MD |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| 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 |
| 180087 | TAYLOR REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1900 Bluegrass Ave, Suite 103, Louisville, KY 40215-1144 | 5025367450 | 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 |
| Ivan A Calderon | Family Medicine | Komg-louisville Region Inc | 5100 Outer Loop, Louisville, KY 40219-3023 |
| 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 |
| Street Address |
1900 BLUEGRASS AVE SUITE 103 |
| City | LOUISVILLE |
| State | KY |
| Zip | 40215-1144 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara A Miller | Nurse Practitioner | Komg-louisville Region Inc | 1900 Bluegrass Ave, Suite 300, Louisville, KY 40215-1183 |
| Andrea E Porter | Nurse Practitioner | Komg-louisville Region Inc | 1900 Bluegrass Ave, Suite 103, Louisville, KY 40215-1144 |
| Tuyen T Nguyen | Internal Medicine | Komg-louisville Region Inc | 1900 Bluegrass Ave, Suite 300, Louisville, KY 40215-1183 |
| Cathy E Collier | Nurse Practitioner | Komg-louisville Region Inc | 1900 Bluegrass Ave, Suite 103, Louisville, KY 40215-1144 |
| Arun K Ummat | Interventional Cardiology | Komg-louisville Region Inc | 1900 Bluegrass Ave, Suite 103, Louisville, KY 40215-1144 |
| Lori A Rogers | Nurse Practitioner | Komg-louisville Region Inc | 1900 Bluegrass Ave, Suite 103, Louisville, KY 40215-1144 |
| Sunny Abraham Joseph | Cardiovascular Disease (cardiology) | Komg-louisville Region Inc | 1900 Bluegrass Ave, Suite 103, Louisville, KY 40215-1144 |
| Tamea D Evans | Family Medicine | Komg-louisville Region Inc | 1900 Bluegrass Ave, Suite 300, Louisville, KY 40215-1183 |
| Taryn B Reynolds | Nurse Practitioner | Komg-louisville Region Inc | 1900 Bluegrass Ave, Suite 103, Louisville, KY 40215-1144 |
| Preeti Attavar | Cardiovascular Disease (cardiology) | Komg-louisville Region Inc | 1900 Bluegrass Ave, Suite 103, Louisville, KY 40215-1144 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thad R Schulten | Oral Surgery | Thad R. Schulten Psc | 4515 Churchman Ave, Louisville, KY 40215-1109 |
| Earl Edward Ellis | Psychologist, Clinical | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Warren E Milteer | Internal Medicine | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Ashley Hill | Qualified Speech Language Pathologist | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Tiffany R Mcintyre | Occupational Therapy | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Toufic A Fakhoury | Neurology | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Hayley Russell | Nurse Practitioner | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Ashley Newton | Nurse Practitioner | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Richard T Holt | Orthopedic Surgery | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Christopher S Ross | Occupational Therapy | Commonwealth of Kentucky | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
| Find all physicians in zip 40215 | |||
| City | LOUISVILLE |
| Zip Code | 40215 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | LOUISVILLE + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Charles R Prince.
| 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.