FAMILY PODIATRY CENTER PLLC (NPI# 1265935977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265935977 |
| Entity Type | Organization |
| Organization Name | FAMILY PODIATRY CENTER PLLC |
| Practice Address |
9850 Von Allmen Ct Louisville KY 40241 |
| Mailing Address |
11519 Willow Stream Ct Apt 201 Louisville KY 40299-5987 |
| Practice Telephone | 2167986731 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | TREVECCA SHAW (PODIATRIST/OWNER) |
| Authorized Official Telephone | 2167986731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00338 | KY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
9850 VON ALLMEN CT |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346865763 | Pdi Health Ky LLC | Clinic/Center | 9850 Von Allmen Ct, Louisville, KY 40241-2854 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| 1962769257 | Victor Fehrenbacher | Orthopaedic Surgery | 9880 Angies Way Ste 230, Louisville, KY 40241 | 2012-04-12 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821651852 | Sports Medicine Surgical Specialists Pllc | Podiatrist | 309 Guthrie St, Louisville, KY 40202-1813 | 2019-04-16 |
| 1811423460 | Jillian Allison Teslow Rickertsen | Podiatrist | 734 W Main St Ste 100, Louisville, KY 40202-3687 | 2017-05-02 |
| 1992239214 | Nathaniel Winters | Podiatrist | 6801 Dixie Hwy Ste 134, Louisville, KY 40258-3952 | 2017-04-13 |
| 1992188437 | Brett P Vessell | Podiatrist | 4119 Browns Ln Ste 2, Louisville, KY 40220-1500 | 2015-07-01 |
| 1629286257 | Adam Alexander Didyk | Podiatrist | 13105 Eastpoint Park Blvd, Louisville, KY 40223 | 2007-05-18 |
| 1699803270 | Gerardo Ulfe | Podiatrist | 317b Guthrie Grn, Louisville, KY 40202 | 2007-03-02 |
| 1164512612 | Brian T Przystawski, Dpm, PCs | Podiatrist | 4119 Browns Lane, Bld#2, Louisville, KY 40220 | 2006-10-13 |
| 1821023250 | Judy Nonglak Outsa | Podiatrist | 6407 Preston Hwy, Suite #1, Louisville, KY 40219-1850 | 2006-07-12 |
| 1053353607 | Rhonda A Eichenberger | Podiatrist | 9900 Shelbyville Rd Ste 11a, Louisville, KY 40223-2965 | 2006-06-11 |
| 1023057072 | Podiatric Physicians of Kentucky, Psc | Podiatrist | 9110 Leesgate Road, Louisville, KY 40222 | 2006-06-05 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
Please comment or provide details below to improve the information on FAMILY PODIATRY CENTER PLLC.
| 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.