KEVIN L HARRELD (NPI# 1073700019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073700019 |
| Entity Type | Individual |
| Full Name | KEVIN L HARRELD |
| Credential | MD |
| Practice Address |
4402 Churchman Ave Suite 300 Louisville KY 40215-1190 |
| Mailing Address |
6801 Dixie Hwy Suite 130 Louisville KY 40258-3913 |
| Practice Telephone | 5023630588 |
| Practice Fax Number | 5023630972 |
| Mailing Telephone | 5023630588 |
| Mailing Fax Number | 5023630972 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2012-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 44601 | KY | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | ME105941 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100192290 | 05 | |
| FL | 0018911600 | 05 | |
| FL | BCBS | 147QS | 01 |
| Street Address |
4402 CHURCHMAN AVE SUITE 300 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-1190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424321 | Joel Philip Garmon | Surgery | 4402 Churchman Ave, Ste 202, Louisville, KY 40215-3101 | 2005-06-01 |
| 1629523048 | Cynthia Byers | Nurse Practitioner | 4402 Churchman Ave, Suite 410, Louisville, KY 40215-1190 | 2016-08-16 |
| 1780047456 | Distler, Huntington & Blair Psc | Optometrist | 4402 Churchman Ave, Ste 306, Louisville, KY 40215-3101 | 2016-03-31 |
| 1790143295 | Julia L Staib | Nurse Practitioner | 4402 Churchman Ave, Suite 300, Louisville, KY 40215-1190 | 2016-01-29 |
| 1306218805 | Charna E Gaither | Nurse Practitioner | 4402 Churchman Ave, Suite 404, Louisville, KY 40215-1190 | 2015-10-22 |
| 1255703922 | Michelle Sims | Nurse Practitioner | 4402 Churchman Ave, Suite 302, Louisville, KY 40215-1190 | 2015-10-21 |
| 1609246156 | Elizabeth Mann Gasser | Physician Assistant | 4402 Churchman Ave, Suite 300, Louisville, KY 40215-1190 | 2015-09-28 |
| 1972907327 | Ashley Tant | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-10-14 |
| 1417366279 | Louisville & So Indiana Pulmonary Care | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-08-06 |
| 1447669478 | Ashley C Tant | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790322170 | Louisville Spine Institute LLC | Orthopaedic Surgery | 6500 Glenridge Park Pl Ste 9, Louisville, KY 40222-3450 | 2019-12-05 |
| 1679077531 | Travis Parkulo | Orthopaedic Surgery | 550 South Jackson Street 1st Floor Acb, Louisville, KY 40292-1219 | 2018-03-23 |
| 1730425208 | Norwood Kaye Ford Jr. | Orthopaedic Surgery | 7804 Creekbottom Rd, Louisville, KY 40241-5507 | 2013-01-02 |
| 1700148483 | Kenneth Saad Chakour | Orthopaedic Surgery | 550 South Jackson Street, 1st Floor, Ambulatory Care Building, Louisville, KY 40292 | 2012-06-08 |
| 1962769257 | Victor Fehrenbacher | Orthopaedic Surgery | 9880 Angies Way Ste 230, Louisville, KY 40241 | 2012-04-12 |
| 1376860239 | Gb Family Corp | Orthopaedic Surgery | 400 W Market St Ste 1800, Louisville, KY 40202-3362 | 2010-04-30 |
| 1740506534 | Lonnie Rhea Douglas | Orthopaedic Surgery | 1277 Springdale Dr, Louisville, KY 40213-1736 | 2010-04-19 |
| 1376797985 | Peter T. Kirsch | Orthopaedic Surgery | 8003 Vine Crest Ave, Unit 12, Louisville, KY 40222-4695 | 2008-11-10 |
| 1316196975 | Nyagon G. Duany | Orthopaedic Surgery | 210 E Gray St Ste 604, Louisville, KY 40202-3902 | 2008-09-18 |
| 1215123138 | Jeffrey Nagy Fadel | Orthopaedic Surgery | 2932 Breckenridge Ln Ste 1, Louisville, KY 40220-1409 | 2007-09-25 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
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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.