DR. CHAISAK PENGVANICH (NPI# 1083721641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083721641 |
| Entity Type | Individual |
| Full Name | DR. CHAISAK PENGVANICH |
| Credential | M.D. |
| Practice Address |
1607 Dixie Hwy Louisville KY 40210-1745 |
| Practice Telephone | 5027721822 |
| Practice Fax Number | 5027748464 |
| Mailing Telephone | 5027721822 |
| Mailing Fax Number | 5027748464 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 17517 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64175177 | 05 |
| Street Address |
1607 DIXIE HWY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40210-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366825523 | Lindsey Winfield | Nurse Practitioner | 1607 Dixie Hwy, Louisville, KY 40210-1745 | 2015-07-07 |
| 1417205949 | Dana Theresa Bageon | Nurse Practitioner | 1607 Dixie Hwy, Louisville, KY 40210-1745 | 2012-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568919322 | Drjbcdc | Chiropractor | 1714 Dixie Hwy, Louisville, KY 40210 | 2016-09-08 |
| 1194900100 | Mahyar Mofidi | Dentist | 1480 Dixie Hwy, Louisville, KY 40210 | 2008-01-09 |
| 1962552042 | Dixie Dental Center Psc | Clinic/Center | 1480 Dixie Hwy, Louisville, KY 40210 | 2007-01-11 |
| 1528494770 | Valerie Gholson Day | Marriage & Family Therapist | 1620 Anderson St, Louisville, KY 40210-1032 | 2013-09-19 |
| 1851821532 | Heart 2 Heart Veterans Care | Nurse's Aide | 2518 Osage Ave, Louisville, KY 40210-1116 | 2017-06-15 |
| 1588127310 | Klf Company LLC | Community/Behavioral Health | 1833 Date St, Louisville, KY 40210-1245 | 2019-04-09 |
| 1407305998 | Prorehab Louisville | Clinic/Center | 902 S 15th St, Louisville, KY 40210-1319 | 2016-09-26 |
| 1568070480 | Stimar Healthcare LLC | Nurse Practitioner | 2111 W Oak St, Louisville, KY 40210-1419 | 2020-07-16 |
| 1982240115 | Geri Ann Thomas | Nurse Practitioner | 2228 Hale Ave, Louisville, KY 40210-1436 | 2019-11-22 |
| 1649747882 | Tanika L. Owens | Kinesiotherapist | 1022 Dumesnil St., Louisville, KY 40210-1517 | 2018-10-25 |
| Find all providers in zip 40210 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280216 | Hmps Internal Medicine of West Louisville Pllc | Internal Medicine | 2730 Brownsboro Rd Apt 164, Louisville, KY 40206-1268 | 2020-09-18 |
| 1174085203 | New Hope Recovery LLC | Internal Medicine | 2503 Bush Ridge Dr Ste A, Louisville, KY 40245-5885 | 2019-04-06 |
| 1619452364 | Peak Internal Medicine | Internal Medicine | 400 S Mccaslin Blvd Ste 200, Louisville, CO 80027-9701 | 2018-09-28 |
| 1245729870 | Mark Louis Siefring | Internal Medicine | 842 Parkway Dr, Louisville, KY 40217-2456 | 2018-05-09 |
| 1306341417 | Louisville Primary Care | Internal Medicine | 801 Barret Ave Ste 112, Louisville, KY 40204-1732 | 2018-03-29 |
| 1467966143 | Ray Richard Taylor | Internal Medicine | 1618 Polo Club Ct, Louisville, KY 40245-4482 | 2017-11-17 |
| 1972024768 | Paridhi Mathur | Internal Medicine | 6801 Dixie Hwy Ste 40258, Louisville, KY 40258-3913 | 2017-06-30 |
| 1780115998 | Preston Urgent Care, Inc | Internal Medicine | 4822 Preston Hwy, Louisville, KY 40213-2226 | 2017-03-21 |
| 1255873832 | Belissa Malier Ramos Chaves | Internal Medicine | 550 S Jackson St Bldg A, Louisville, KY 40202-1622 | 2016-11-14 |
| 1326499161 | Cristina Salmon | Internal Medicine | 550 S Jackson St Rm A3r40, Louisville, KY 40202-1622 | 2016-06-23 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40210 |
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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.