DR. MAHAN GHIASSI (NPI# 1285827725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285827725 |
| Entity Type | Individual |
| Full Name | DR. MAHAN GHIASSI |
| Credential | M.D. |
| Practice Address |
4950 Norton Healthcare Blvd Ste 305 Louisville KY 40241-2849 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5023946460 |
| Mailing Telephone | 5025889490 |
| Enumeration Date | 2007-08-18 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 49962 | KY | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | E-8572 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100490440 | 05 | |
| KY | MEDICARE KENTUCKY | K250170 | 01 |
| Street Address |
4950 NORTON HEALTHCARE BLVD STE 305 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-2849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396759072 | Tammy S Evanow | Nurse Practitioner | 4950 Norton Healthcare Blvd Ste 305, Louisville, KY 40241 | 2006-07-28 |
| 1891291324 | Lauren Johnson | Nurse Practitioner | 4950 Norton Healthcare Blvd Ste 305, Louisville, KY 40241 | 2018-04-03 |
| 1073056917 | Courtney J Ware | Nurse Practitioner | 4950 Norton Healthcare Blvd Ste 305, Louisville, KY 40241-2849 | 2016-11-26 |
| 1235444589 | Kelly Buszkiewicz | Counselor | 4950 Norton Healthcare Blvd Ste 305, Louisville, KY 40241-2849 | 2010-08-11 |
| 1457679276 | Brandon Charles Dennis | Clinical Neuropsychologist | 4950 Norton Healthcare Blvd Ste 305, Louisville, KY 40241 | 2010-05-05 |
| 1881911527 | Danny Ray Rose Jr. | Psychiatry & Neurology | 4950 Norton Healthcare Blvd Ste 305, Louisville, KY 40241-2849 | 2010-04-20 |
| 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 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 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 |
| Find all providers in zip 40241 | ||||
| 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 | 40241 |
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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.