DR. ROBERTO A PENNE-CASANOVA (NPI# 1265492748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265492748 |
| Entity Type | Individual |
| Full Name | DR. ROBERTO A PENNE-CASANOVA |
| Credential | MD |
| Practice Address |
3991 Dutchmans Ln Medical Plaza II Ste G03 Louisville KY 40207-4700 |
| Mailing Address |
Po Box 847 Prospect KY 40059 |
| Practice Telephone | 5028996100 |
| Practice Fax Number | 5028996108 |
| Mailing Telephone | 5023869415 |
| Mailing Fax Number | 5028996108 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2010-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
37074 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BLUE CROSS BLUE SHIELD | 000000235989 | 01 |
| KY | RAILROAD MEDICARE | P00022895 | 01 |
| KY | PASSPORT ADVANTAGE | 2440625000 | 01 |
| KY | PASSPORT HEALTH PLAN | 1170390 | 01 |
| KY | 64048564 | 05 | |
| IN | 200386450A | 05 |
| Street Address |
3991 DUTCHMANS LN MEDICAL PLAZA II STE G03 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769341 | Daniel T Maurer | Orthopaedic Surgery | 3991 Dutchmans Ln, Suite 208, Louisville, KY 40207-4700 | 2005-06-09 |
| 1851720577 | Ashley Elizabeth Knable | Nurse Practitioner | 3991 Dutchmans Ln, Suite 310, Louisville, KY 40207-4700 | 2013-11-04 |
| 1639445513 | John Perpich | Pharmacist | 3991 Dutchmans Ln, Louisville, KY 40207-4700 | 2012-03-26 |
| 1477846798 | Community Medical Associates, Inc. | Durable Medical Equipment & Medical Supplies | 3991 Dutchmans Ln, Ste. 208, Louisville, KY 40207 | 2011-05-19 |
| 1720388010 | Evelyn Marrett Beckman | Nurse Practitioner | 3991 Dutchmans Ln, Suite 405, Louisville, KY 40207-4700 | 2010-11-02 |
| 1205164936 | Dale Vincent | Nurse Practitioner | 3991 Dutchmans Ln, Norton Suburban Medical Plaza II, Suite 405, Louisville, KY 40207-4700 | 2009-11-18 |
| 1407018187 | Mark Paul Bazant | Psychiatry & Neurology | 3991 Dutchmans Ln, Suite 310, Louisville, KY 40207-4700 | 2008-06-25 |
| 1831358506 | Geeta Aruna Ganesh | Psychiatry & Neurology | 3991 Dutchmans Ln, Suite 310, Louisville, KY 40207-4700 | 2008-06-06 |
| 1013193077 | Lambert, Klamer and Gupta, Psc | Surgery | 3991 Dutchmans Ln, Suite 103, Louisville, KY 40207-4700 | 2008-01-21 |
| 1821273830 | Kimberly Michele Kisegy | Nurse Practitioner | 3991 Dutchmans Ln, Louisville, KY 40207-4700 | 2008-01-09 |
| 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 | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003053117 | Kenneth Michael Farmer | Preventive Medicine | 17718 Popedale Rd, Louisville, KY 40245-4353 | 2009-01-12 |
| 1235385154 | Kathleen Harter | Preventive Medicine | 2000 Fern Valley Rd, Ford Medical, Louisville, KY 40213-3502 | 2008-08-12 |
| 1477721801 | Preston Station Occupational Health Services, Psc | Preventive Medicine | 1941 Bishop Ln Ste 205, Louisville, KY 40218-1973 | 2008-02-19 |
| 1548464290 | Gregory A Ornella | Preventive Medicine | Po Box 32310, Ford Motor Company, Louisville, KY 40232-2310 | 2007-06-14 |
| 1447709472 | U.S. Healthworks Medical Group of Kentucky, Inc. | Preventive Medicine | 3430 Newburg Rd, Suite 106, Louisville, KY 40218-2497 | 2016-10-03 |
| 1730638750 | U.S. Healthworks Medical Group of Kentucky, Inc. | Preventive Medicine | 100 High Rise Dr, Louisville, KY 40213-3251 | 2016-10-03 |
| 1134678196 | U.S. Healthworks Medical Group of Kentucky | Preventive Medicine | 901 W Broadway, Louisville, KY 40203-2028 | 2016-09-30 |
| 1396919585 | Elmang Njabou Nchako | Preventive Medicine | 3303 Fern Valley Rd, Louisville, KY 40213-3529 | 2008-04-17 |
| 1558562629 | Angel Porter | Preventive Medicine | 3303 Fern Valley Rd, Louisville, KY 40213-3529 | 2007-05-29 |
| 1326177890 | Ronald Podoll | Preventive Medicine | 3430 Newburg Rd, 106, Louisville, KY 40218-2497 | 2007-03-02 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on DR. ROBERTO A PENNE-CASANOVA.
| 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.