DR. JOHANNA SUZANNE ARCHER (NPI# 1295796662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295796662 |
| Entity Type | Individual |
| Full Name | DR. JOHANNA SUZANNE ARCHER |
| Credential | M.D. |
| Practice Address |
6420 Dutchmans Pkwy Suite 395 Louisville KY 40205-3372 |
| Practice Telephone | 5027496420 |
| Practice Fax Number | 5027496426 |
| Mailing Telephone | 5027496420 |
| Mailing Fax Number | 5027496426 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2011-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
41480 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | UPIN | H64013 | 01 |
| KY | PASSPORT SPECIALTY | 50017025 | 01 |
| KY | 7100016980 | 05 | |
| ANTHEM | 000000542447 | 01 | |
| ANTHEM | 000000542618 | 01 | |
| IN | 200883710 | 05 | |
| AETNA | 7372351 | 01 | |
| KY | PASSPORT SPECIALITY | 50017026 | 01 |
| KY | PASSPORT PCP | 50017027 | 01 |
| Street Address |
6420 DUTCHMANS PKWY SUITE 395 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40205-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084262 | Kenneth Lorne Balcombe | Otolaryngology | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3372 | 2005-06-21 |
| 1356897227 | The Cataract Vision Institute LLC | Clinic/Center | 6420 Dutchmans Pkwy, Suite 185, Louisville, KY 40205-3372 | 2016-08-30 |
| 1083066039 | Stacey Roberts | Nurse Practitioner | 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | 2016-07-01 |
| 1619344975 | Megan Nicole Cahill | Nurse Practitioner | 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | 2015-08-21 |
| 1275909343 | Alexandra Spata | Physical Therapist | 6420 Dutchmans Pkwy, Suite 160, Louisville, KY 40205-3372 | 2015-08-12 |
| 1538545009 | Kayla Fowler | Physical Therapist | 6420 Dutchmans Pkwy, Suite 160, Louisville, KY 40205-3372 | 2015-08-06 |
| 1134555402 | Cristal L Pollak | Nurse Practitioner | 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | 2013-09-18 |
| 1649605502 | Elizabeth R Krupiczewicz | Nurse Practitioner | 6420 Dutchmans Pkwy, Ste.200, Louisville, KY 40205 | 2013-09-11 |
| 1932443892 | Melanie Therese Twyman | Nurse Practitioner | 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | 2012-11-16 |
| 1639431968 | Melissa Dawn Wright | Nurse Practitioner | 6420 Dutchmans Pkwy, Ste.200, Louisville, KY 40205-3372 | 2012-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1609392133 | Leah Elizabeth Storch | Occupational Therapist | 2231 Wendell Ave, Louisville, KY 40205 | 2017-08-16 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1699205328 | Nathaniel George Kennedy | Physician Assistant | 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 | 2017-06-14 |
| 1225584972 | Kalpana Bhaskar | Pharmacist | 3036 Bardstown Road, Louisville, KY 40205 | 2016-08-31 |
| 1013398627 | William Wood | Hearing Instrument Specialist | 2239 Bardstown Rd., Louisville, KY 40205 | 2015-06-10 |
| 1811306707 | Alaina Rotelli | Pharmacist | 2100 Gardiner Lane, Louisville, KY 40205 | 2014-08-05 |
| 1013325760 | Jaime Alexandra Seelmeyer | Counselor | 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 | 2014-07-25 |
| 1992009336 | Priscilla Freeman | Case Manager/Care Coordinator | 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 | 2010-12-28 |
| 1457501413 | Amanda Christine Voils-levenda | Psychologist | 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 | 2008-09-26 |
| Find all providers in zip 40205 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932533643 | Mary Martin Cadieux | Obstetrics & Gynecology | 3824 Compass Pointe Dr, Louisville, TN 37777 | 2013-08-29 |
| 1558746602 | Kentucky Fertility Associates, Pllc | Obstetrics & Gynecology | 4612 Chamberlain Ln, Louisville, KY 40241-1071 | 2015-07-29 |
| 1144643081 | University of Louisville Research Foundation | Obstetrics & Gynecology | 550 S Jackson St, Louisville, KY 40202-1622 | 2014-01-29 |
| 1568885804 | University of Louisville Research Foundation | Obstetrics & Gynecology | 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 | 2014-01-22 |
| 1730454851 | University of Louisville Physicians, Inc. | Obstetrics & Gynecology | 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 | 2012-03-22 |
| 1770628927 | Robert J. Homm, Md, Psc | Obstetrics & Gynecology | 4121 Dutchmans Ln, Suite 414, Louisville, KY 40207-4707 | 2007-02-21 |
| 1417979683 | Christine Louise Cook | Obstetrics & Gynecology | 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 | 2006-07-24 |
| 1518983287 | Steven T. Nakajima | Obstetrics & Gynecology | 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 | 2006-07-14 |
| 1518926096 | Robert J Homm | Obstetrics & Gynecology | 4121 Dutchmans Lane, Suite 414, Louisville, KY 40207 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346340676 | Walter Alfred Divers | Obstetrics & Gynecology | 4109 John Alden Ln, Lexington, KY 40504-2043 | 2006-09-25 |
| 1497761894 | Kentucky Fertility and Andrology, Pllc | Obstetrics & Gynecology | 141 N Eagle Creek Dr, Suite 203, Lexington, KY 40509-1832 | 2006-07-31 |
| 1275780173 | Woman To Woman Healthcare, LLC. | Obstetrics & Gynecology | 1055 Wellington Way, Suite 125, Lexington, KY 40513-1259 | 2008-08-21 |
| 1427151430 | Myra A Henderson | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| 1497858641 | David A Hamilton Sr. | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| 1831292077 | Lucian Y Moreman II | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| 1174626352 | George W Bauer IIi | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| 1730123910 | Kenneth Muse Jr. | Obstetrics & Gynecology | 800 Rose Street, Lexington, KY 40536-0001 | 2006-06-16 |
| 1407891450 | Emery Wilson | Obstetrics & Gynecology | 800 Rose Street, Lexington, KY 40536-0001 | 2006-06-16 |
| City | LOUISVILLE |
| Zip Code | 40205 |
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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.