DR. RONNIE PRIDEMORE (NPI# 1285895334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285895334 |
| Entity Type | Individual |
| Full Name | DR. RONNIE PRIDEMORE |
| Credential | M.D. |
| Practice Address |
9212 Glover Ln Louisville KY 40242-3318 |
| Mailing Address |
1220 Missouri Ave Jeffersonville IN 47130-3725 |
| Practice Telephone | 5027672060 |
| Mailing Telephone | 8122832521 |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2017-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 01067848A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100136250 | 05 |
| Street Address |
9212 GLOVER LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40242-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689729121 | Robert E Bohn | Dentist | 9325 New Lagrange Road, Louisville, KY 40242 | 2007-01-24 |
| 1447303714 | Margaret C Campisano | Dentist | 9325 New Lagrange Rd, Louisville, KY 40242 | 2007-01-19 |
| 1386743037 | Kentuckiana Psychotherapy Associates | Social Worker | 9017 Taylorsville Rd, Louisville, KY 40242 | 2006-09-21 |
| 1245332279 | Paul Ezekiel Buck Sr. | Dentist | 8700 Bayberry Place, Paul E Buck Dmd, Louisville, KY 40242 | 2006-09-01 |
| 1326150947 | Terri White | Social Worker | 2603 Ballantrae Cir, Louisville, KY 40242 | 2006-08-31 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1841795317 | Ogedi Omenyinma | Non-emergency Medical Transport (VAN) | 2807 Valhalla Ct, Louisville, KY 40242-2402 | 2018-03-27 |
| 1275183451 | Emily Katherine Sturgeon | Nurse Practitioner | 8312 Easton Ln, Louisville, KY 40242-2518 | 2019-09-18 |
| 1538562376 | Sheila Mays | Social Worker | 2905 Brownsboro Vista Dr, Louisville, KY 40242-2965 | 2014-10-08 |
| 1558770032 | Judy Poiry Gradl | Occupational Therapist | 8407 Bayou Way, Louisville, KY 40242-3003 | 2014-08-08 |
| Find all providers in zip 40242 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1477963163 | Tiffany A Campbell | Emergency Medicine | 530 South Jackson St., #c1h17, Louisville, KY 40202 | 2014-05-02 |
| 1154748382 | Samuel Rume Aya | Emergency Medicine | 530 South Jackson St, #c1h17, Department of Emergency Medicine, Louisville, KY 40202 | 2014-03-26 |
| 1598039315 | Mary Barbara Sowers | Emergency Medicine | 611 Emery Rd, Louisville, KY 40206 | 2012-02-24 |
| 1821383944 | Shaun M Reynolds | Emergency Medicine | 530 S Jackson St # C1h17, Department of Emergency Medicine, U of Louisville, Louisville, KY 40202-1675 | 2011-06-16 |
| 1497071674 | Jordan Taylor Brown | Emergency Medicine | 10904 Keene Rd, Louisville, KY 40241-4860 | 2010-04-14 |
| 1366679342 | Devin Sandlin | Emergency Medicine | 1907 Stevens Ave, Louisville, KY 40205-1048 | 2009-06-17 |
| 1801023320 | Mark Timothy Scallon Rukavina | Emergency Medicine | 2400 Mellwood Ave, Apt 1003, Louisville, KY 40206-1061 | 2009-06-11 |
| 1962664961 | Amy Lynn Minix | Emergency Medicine | 3504 Birchmore Pl, Louisville, KY 40245-8475 | 2008-06-30 |
| 1912169673 | Valerie King | Emergency Medicine | 2779 Maple Rd, Louisville, KY 40205-1735 | 2008-06-25 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40242 |
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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.