DR. RYAN EDWARD MODLINSKI


Address: 4123 Dutchmans Ln, Suite 401, Louisville, KY 40207-4707
Phone: 5023946341

DR. RYAN EDWARD MODLINSKI (NPI# 1114953817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114953817
Entity Type Individual
Full Name DR. RYAN EDWARD MODLINSKI
Credential M.D.
Practice Address 4123 Dutchmans Ln
Suite 401
Louisville
KY 40207-4707
Mailing Address Po Box 776351
Chicago
IL 60677-6351
Practice Telephone 5023946341
Practice Fax Number 5023946340
Mailing Telephone 5025889490
Mailing Fax Number 5022725119
Enumeration Date 2006-06-24
Last Update Date 2016-07-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
TP313 KY Allopathic & Osteopathic Physicians

Office Location

Street Address 4123 DUTCHMANS LN
SUITE 401
City LOUISVILLE
State KY
Zip Code 40207-4707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124022496 Rhonda W. Howard Nurse Practitioner 4123 Dutchmans Ln, Suite 515, Louisville, KY 40207-4707 2005-06-02
1518509777 Blair Kelly Wagner Nurse Practitioner 4123 Dutchmans Ln, Louisville, KY 40207-4707 2019-10-09
1750805966 Patrick Mcrae Nurse Practitioner 4123 Dutchmans Ln, Louisville, KY 40207-4707 2017-07-29
1285006049 Erin M Parker Nurse Practitioner 4123 Dutchmans Ln, Suite 101, Louisville, KY 40207-4707 2015-10-20
1831434455 Eran Rosenberg Urology 4123 Dutchmans Ln, Suite 102, Louisville, KY 40207 2012-12-07
1790076487 Katherine E Caldwell Pediatrics 4123 Dutchmans Ln, Suite 301, Louisville, KY 40207-4707 2011-04-28
1851690846 Angela Marie Cox Pediatrics 4123 Dutchmans Ln, Suite 301, Louisville, KY 40207-4707 2011-03-16
1467759035 Jaclyn Haley Alexander Nurse Practitioner 4123 Dutchmans Ln, Ste. 300, Louisville, KY 40207-4707 2011-02-17
1306152939 Ansel Tsung Jin Tjin-a-tam Pediatrics 4123 Dutchmans Ln, Suite 301, Louisville, KY 40207-4707 2010-08-19
1790002517 Daniel Nathan Ginn Obstetrics & Gynecology 4123 Dutchmans Ln, Ste. 300, Louisville, KY 40207-4707 2010-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780212688 Alexia Louise Bodamer Student in an Organized Health Care Education/Training Program 142 Chenoweth Lane, Lousiville, KY 40207 2020-03-28
1467918664 Amy Rock LLC Counselor 4010 Dupont Cir Ste 307, Louisville, KY 40207 2019-02-13
1649745191 Louisville Optometric Center, IIi, Psc Optometrist 285 Hubbards Lane, Suite 300, Louisville, KY 40207 2018-10-11
1184137440 Crimson Dove Counseling Services Inc Community/Behavioral Health 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 2017-11-09
1285157586 Dickerson Family Enterprise, LLC Non-emergency Medical Transport (VAN) 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 2017-07-19
1578085296 Cardiovascular Medical Specialists LLC Surgery 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 2017-07-14
1932636305 Devon Turley Prevention Professional 1017 Dupont Rd, Suite 1, Louisville, KY 40207 2017-05-17
1285095539 Emily Schwartz Crouch Marriage & Family Therapist 4010 Dupont Circle, Suite 582, Louisville, KY 40207 2016-03-15
1306201280 A A and Associates Approved Alcohol/drug Program Counselor 4006 Dutchmans Lane, Louisville, KY 40207 2015-12-21
1629433693 Jewish Hospital and St. Mary's Healthcare, Inc. General Acute Care Hospital 3290 Dutchmans Lane, Louisville, KY 40207 2015-12-17
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174566152 Christopher V. Pitcock Family Medicine 2400 Eastpoint Pkwy Ste 110, Louisville, KY 40223-4154 2006-06-14
1184663015 Louisville Family & Sports Medicine Psc Family Medicine 9420 Brownsboro Rd, Louisville, KY 40241-1118 2006-06-06
1881042505 Jordan Patrick Hilgefort Family Medicine 215 Central Ave Ste 200, Louisville, KY 40208-1451 2016-06-03
1396176541 University of Louisville Research Foundation Family Medicine 215 Central Ave, Suite 200, Louisville, KY 40208-1449 2013-12-12
1447516125 University of Louisville Physicians, Inc. Family Medicine 215 Central Ave, Suite 102, Louisville, KY 40208-1449 2012-04-06
1396001012 University of Louisville Research Foundation Family Medicine 215 Central Ave, Suite 200, Louisville, KY 40208-1449 2012-04-06
1144596164 Neil Mahadev Patil Family Medicine 201 Abraham Flexner Way, Suite 100, Louisville, KY 40202-3841 2012-03-23
1770609125 Paul B Mckee Iv Family Medicine 201 Abraham Flexner Way, Suite 100, Louisville, KY 40202-3841 2007-03-21
1285640896 Igor Singer Family Medicine 3801 Springhurst Blvd, Suite 104, Louisville, KY 40241-6137 2006-08-01
1336182450 Gregory J. Potts Family Medicine 9420 Brownsboro Rd, Louisville, KY 40241-1118 2006-06-14
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City LOUISVILLE
Zip Code 40207

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Dataset Information

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.

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