IVAN ALEJANDRO CALDERON (NPI# 1043453749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043453749 |
| Entity Type | Individual |
| Full Name | IVAN ALEJANDRO CALDERON |
| Credential | M.D. |
| Practice Address |
6801 Dixie Hwy Suite 133 Louisville KY 40258-3913 |
| Mailing Address |
100 E Liberty St Ste 800 Louisville KY 40202-1428 |
| Practice Telephone | 5029373864 |
| Practice Fax Number | 5029371237 |
| Mailing Telephone | 5029373864 |
| Mailing Fax Number | 5029371237 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2018-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 45462 | KY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | FT436 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100137250 | 05 |
| Street Address |
6801 DIXIE HWY SUITE 133 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40258-3913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125495 | Jewish Hospital & St. Mary's Healthcare, Inc. | Clinic/Center | 6801 Dixie Hwy, Suite 129, Louisville, KY 40258-3913 | 2005-06-22 |
| 1083018634 | Dwight Mielke | Specialist | 6801 Dixie Hwy, Suite 136, Louisville, KY 40258-3913 | 2014-10-10 |
| 1356608533 | First Urology, Psc | Nurse Practitioner | 6801 Dixie Hwy, Suite 133, Louisville, KY 40258-3913 | 2012-04-12 |
| 1063540219 | Tina Angela Kenney | Hearing Instrument Specialist | 6801 Dixie Hwy, Suite 136, Louisville, KY 40258-3913 | 2007-03-01 |
| 1053485417 | Caritas Physician Group, Inc. | Clinic/Center | 6801 Dixie Hwy, Suite 134, Louisville, KY 40258-3913 | 2006-11-20 |
| 1407931835 | Gnd Medical Consultants, LLC | Clinic/Center | 6801 Dixie Hwy, Suite 204, Louisville, KY 40258-3913 | 2006-10-26 |
| 1053349456 | Kamara Evette Garner | Family Medicine | 6801 Dixie Hwy, Ste 133, Louisville, KY 40258-3913 | 2006-06-28 |
| 1770526485 | Paul Tipton | Podiatrist | 6801 Dixie Hwy, Suite 134, Louisville, KY 40258-3913 | 2006-06-13 |
| 1306893599 | Bradford Unroe | Podiatrist | 6801 Dixie Hwy, Suite 134, Louisville, KY 40258-3913 | 2006-05-31 |
| 1487691515 | Ryan A. Lemmenes | Podiatrist | 6801 Dixie Hwy, Suite 134, Louisville, KY 40258-3913 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519810 | Natalie Calhoun | Nursing Care | 6706 Wyckoff Court, Louisville, KY 40258 | 2020-08-20 |
| 1710597075 | Breanna Albright | Nurse Practitioner | 8594 Dixie Highway, Lou, KY 40258 | 2020-08-03 |
| 1528548831 | Assocaites In Pediatric Therapy LLC | Physical Therapist | 3110 Creek Drive, Lousiville, KY 40258 | 2018-08-16 |
| 1972097277 | D & D Dental Enterprises | Clinic/Center | 6790 Dixie Hwy, Louisville, KY 40258 | 2018-06-20 |
| 1295259695 | Antonio Lavelle Booker | Pharmacist | 7500 Terry Road, Louisville, KY 40258 | 2017-07-28 |
| 1568880037 | All About Your Hair LLC | Specialist | 7828 Westbrook Rd, Louisville, KY 40258 | 2014-04-02 |
| 1700215019 | Anna Solce | Pharmacist | 7338 Dixie Highway, Louisville, KY 40258 | 2013-11-06 |
| 1427147206 | Eric A. Burnett | Internal Medicine | 8019 Dixie Hwy Suite101, Jencare Neighborhood Medical Center Valley Station LLC, Louisville, KY 40258 | 2006-10-12 |
| 1861585531 | Amy B. Farnsworth | Dentist | 7206 Dixie Hwy., Louisville, KY 40258 | 2006-10-02 |
| 1720096951 | Endodontic Associates of Louisville Pllc | Dentist | 7214 Dixie Hwy, Louisville, KY 40258 | 2006-08-03 |
| Find all providers in zip 40258 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1104341171 | Brandy Wells | Family Medicine | 11612 Top Walnut Loop, Louisville, KY 40229 | 2017-08-10 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1770939043 | Rss Inc Dba Mediweightloss | Family Medicine | 166 N Hurstbourne Pkwy, Louisville, KY 40222-5108 | 2016-05-05 |
| 1104280379 | Jonathan Paul Newsom | Family Medicine | 2401 Terra Crossing Blvd Ste 101, Louisville, KY 40245-5371 | 2016-04-13 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40258 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.