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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
TP313 | KY | Allopathic & Osteopathic Physicians |
Street Address |
4123 DUTCHMANS LN SUITE 401 |
City | LOUISVILLE |
State | KY |
Zip Code | 40207-4707 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 40207 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
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. |
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 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40207 |
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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.