YARED BERHANU HAILEMARIAM (NPI# 1164718466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164718466 |
| Entity Type | Individual |
| Full Name | YARED BERHANU HAILEMARIAM |
| Credential | M.D. |
| Practice Address |
3900 Kresge Way Ste 60 Louisville KY 40207-4690 |
| Mailing Address |
2700 Stanley Gault Pkwy Ste 129 Louisville KY 40223-5176 |
| Practice Telephone | 5028937710 |
| Practice Fax Number | 5028931391 |
| Mailing Telephone | 5024896613 |
| Mailing Fax Number | 5024895751 |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2020-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
48993 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICAL LICENSE | 48993 | 01 |
| Street Address |
3900 KRESGE WAY STE 60 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578691622 | John Loughran Jr. | Internal Medicine | 3900 Kresge Way Ste 60, Louisville, KY 40207-4690 | 2007-03-01 |
| 1407454788 | Tiffany L Rigney | Nurse Practitioner | 3900 Kresge Way Ste 60, Louisville, KY 40207-4690 | 2020-10-09 |
| 1235604661 | Rachel Lynn Snyder | Nurse Practitioner | 3900 Kresge Way Ste 60, Louisville, KY 40207-4690 | 2018-10-12 |
| 1558874347 | Alyssa Renee Laing | Nurse Practitioner | 3900 Kresge Way Ste 60, Louisville, KY 40207-4690 | 2017-11-15 |
| 1316458284 | Paige C. Nelson | Nurse Practitioner | 3900 Kresge Way Ste 60, Louisville, KY 40207-4690 | 2017-10-19 |
| 1336668185 | Kasey Lee Scheper | Nurse Practitioner | 3900 Kresge Way Ste 60, Louisville, KY 40207-4690 | 2017-09-13 |
| 1407230188 | Chelsea Renee Bell | Nurse Practitioner | 3900 Kresge Way Ste 60, Louisville, KY 40207 | 2015-07-13 |
| 1356626097 | Lauren A Lincoln | Nurse Practitioner | 3900 Kresge Way Ste 60, Louisville, KY 40207 | 2011-10-13 |
| 1538459839 | Bianca Ummat | Internal Medicine | 3900 Kresge Way Ste 60, Louisville, KY 40207 | 2011-04-08 |
| 1699092973 | Kevin Wayne Parrott | Internal Medicine | 3900 Kresge Way Ste 60, Louisville, KY 40207 | 2010-04-27 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1881182657 | Have A Heart Foundation Inc | Internal Medicine | 310 E Broadway Ste 100, Louisville, KY 40202-1745 | 2018-04-27 |
| 1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
| 1992246953 | Northeast Cardiology Pllc | Internal Medicine | 1313 St.anthony Place, Louisville, KY 40204-0130 | 2017-03-10 |
| 1427410596 | Lauren Albers | Internal Medicine | 550 South Jackson St, Louisville, KY 40202 | 2016-03-28 |
| 1396138202 | Louisville Cardiovascular Care Pllc | Internal Medicine | 1411 Hadleigh Pl, Louisville, KY 40222-5652 | 2015-03-17 |
| 1629481270 | Harleen Chahil | Internal Medicine | 201 Abraham Flexner Way Ste 600, Louisville, KY 40202-3841 | 2014-06-10 |
| 1831415579 | Geko Inc | Internal Medicine | 1552 Ormsby Station Ct, Louisville, KY 40223-4019 | 2010-04-19 |
| 1215179908 | Matthew Cody Lee Keith | Internal Medicine | 9070 Dixie Hwy Ste 6, Louisville, KY 40258-1007 | 2009-03-27 |
| 1578691622 | John Loughran Jr. | Internal Medicine | 3900 Kresge Way Ste 60, Louisville, KY 40207-4690 | 2007-03-01 |
| 1316024722 | Cardiology of Kentucky | Internal Medicine | 4003 Kresge Way Ste 221, Louisville, KY 40207-4652 | 2006-11-01 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on YARED BERHANU HAILEMARIAM.
| 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.