MR. TODD DOUGLAS DEETSCH (NPI# 1053605394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053605394 |
| Entity Type | Individual |
| Full Name | MR. TODD DOUGLAS DEETSCH |
| Practice Address |
208 Linney Ave Louisville KY 40243-1014 |
| Practice Telephone | 5026931037 |
| Practice Fax Number | 5022452490 |
| Mailing Telephone | 5026931037 |
| Mailing Fax Number | 5022452490 |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
208 LINNEY AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40243-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902190150 | Psyche C-pap Pillow, LLC | Durable Medical Equipment & Medical Supplies | 208 Linney Ave, Louisville, KY 40243-1014 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1417501974 | Joshua Bynum | Physical Therapist | 12935 Shelbyville Road Ste 106, Louisville, KY 40243 | 2019-08-01 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1659811636 | Jean Steltenpohl | Dietitian, Registered | 518 Cheskirk Pl, Louisville, KY 40243 | 2017-02-24 |
| 1548555287 | Jonathan D Senters | Pharmacist | 12975 Shelbyville Road, T-2728, Middletown, KY 40243 | 2011-06-10 |
| 1023339835 | Ashley Rose Havens | Speech-Language Pathologist | 11510 Main Street, Louisville, KY 40243 | 2010-06-15 |
| 1801110424 | Shawna L. Kauffman | Family Medicine | 12955 Shelbyville Rd Ste 2, Louisville, KY 40243 | 2010-03-25 |
| Find all providers in zip 40243 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448248 | Claire Elizabeth Hale | Contractor | 3065 Ledgebrook Ct # 203, Louisville, KY 40241-6530 | 2020-08-20 |
| 1801323688 | Comprehensive Healthcare Solutions LLC | Contractor | 12409 Wynmeade Pl, Louisville, KY 40223-1630 | 2017-05-11 |
| 1457787301 | Marleeta Joyce Harris | Contractor | 3814 Greenwich Rd, Louisville, KY 40218-1616 | 2013-09-24 |
| 1689825267 | Richard Darrell Dugan | Contractor | 2040 Midland Ave, Louisville, KY 40204-2221 | 2008-10-01 |
| 1679756456 | Alexis M Mosvold | Contractor | 409 Marquette Dr, Louisville, KY 40222-4719 | 2007-12-14 |
| 1407049646 | Angela Rueff | Contractor | 123 Ridgeway Ave, Louisville, KY 40207-5020 | 2007-08-21 |
| 1154471753 | Rosie Brian Turner | Contractor | 10608 Wildflower Woods Ct, Louisville, KY 40299-6240 | 2007-01-12 |
| 1669964524 | Lindsey Heibert | Contractor | 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | 2018-06-05 |
| 1841738481 | Latosha Perry | Contractor | 1230 S Hurstbourne Pkwy, Louisville, KY 40222-5757 | 2017-02-02 |
| 1841734597 | Cody Sage | Contractor | 4000 Buechel Bank Rd, Louisville, KY 40225-0001 | 2016-12-15 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40243 |
Please comment or provide details below to improve the information on MR. TODD DOUGLAS DEETSCH.
| 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.