LOUISVILLE NEUROSURGICAL SPECIALIST PSC (NPI# 1184760357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184760357 |
| Entity Type | Organization |
| Organization Name | LOUISVILLE NEUROSURGICAL SPECIALIST PSC |
| Practice Address |
4010 Dupont Cir Suite L28 Louisville KY 40207-4812 |
| Practice Telephone | 5028999099 |
| Practice Fax Number | 5028999899 |
| Mailing Telephone | 5028999099 |
| Mailing Fax Number | 5028999899 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-08-20 |
| Authorized Official Name | DAVID PETRUSKA (OWNER PHYSICIAN) |
| Authorized Official Telephone | 5028999099 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 24702 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PASSPORT ID | 50001903 | 01 |
| Street Address |
4010 DUPONT CIR SUITE L28 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374452 | Frederick Ray Swain | Dentist | 4010 Dupont Cir, Ste 529, Louisville, KY 40207-4888 | 2005-05-24 |
| 1013402973 | Deshara C Doub | Social Worker | 4010 Dupont Cir, Louisville, KY 40207-4812 | 2018-06-24 |
| 1285145235 | Sandra Kay Decker | Nurse Practitioner | 4010 Dupont Cir, Ste 226, Louisville, KY 40207-4847 | 2017-10-17 |
| 1750830733 | Rebecca J Miller | Counselor | 4010 Dupont Cir, 582, Louisville, KY 40207-4812 | 2016-10-01 |
| 1649631706 | Nicole Elise Robinson | Marriage & Family Therapist | 4010 Dupont Cir, Suite 582, Louisville, KY 40207-4812 | 2016-03-16 |
| 1962861559 | Regina Denice Shelton | Counselor | 4010 Dupont Cir, Suite 379, Louisville, KY 40207-4812 | 2016-02-11 |
| 1679931570 | Michelle Fleming | Social Worker | 4010 Dupont Cir, Suite 379, Louisville, KY 40207-4812 | 2016-02-05 |
| 1275999245 | Leeann Pettis Strobel | Counselor | 4010 Dupont Cir, Suite 226, Louisville, KY 40207-4812 | 2016-01-06 |
| 1295109551 | Ariel Dew | Counselor | 4010 Dupont Cir, Louisville, KY 40207-4812 | 2015-11-23 |
| 1346614849 | Amy Halvorson | Social Worker | 4010 Dupont Cir, Suite 582, Louisville, KY 40207-4812 | 2015-11-20 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851542195 | Injury-care Associates and Chiropractic Center of Ky LLC | Neurological Surgery | 3955 Dixie Hwy, Louisville, KY 40216-4166 | 2008-10-06 |
| 1376667741 | Duane Wesley Densler | Neurological Surgery | 3 Audubon Plaza Dr Ste 330, Louisville, KY 40217-1319 | 2007-03-19 |
| 1518041615 | Peter Hedera | Neurological Surgery | 220 Abraham Flexner Way Fl 6, Louisville, KY 40202-3826 | 2006-10-25 |
| 1851494983 | Jonathan Ezra Hodes | Neurological Surgery | 1941 Bishop Ln Ste 402, Louisville, KY 40218-1922 | 2006-09-06 |
| 1932147659 | Arthur Steven Daus | Neurological Surgery | 600 Dr Martin Luther King Pl Rm 464d, Louisville, KY 40202-2239 | 2006-06-03 |
| 1730144189 | Timir Banerjee | Neurological Surgery | 220 Abraham Flexner Way Ste 1200, Louisville, KY 40202 | 2006-04-19 |
| 1730795691 | Daryn Marsh | Neurological Surgery | 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241-2847 | 2020-09-16 |
| 1245861392 | Ajmal Zemmar | Neurological Surgery | 220 Abraham Flexner Way Fl 12, Louisville, KY 40202-3826 | 2020-01-28 |
| 1790283315 | Community Medical Associates, Inc. | Neurological Surgery | 1930 Bishop Ln Ste 1017, Louisville, KY 40218 | 2018-01-29 |
| 1639520497 | Muhammad Abolfotoh Kandel | Neurological Surgery | 220 Abraham Flexner Way Fl 15, Department of Neurosurgery, Louisville, KY 40202-3826 | 2016-06-23 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on LOUISVILLE NEUROSURGICAL SPECIALIST PSC.
| 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.