DR. JACOB LAWRENCE NUNAMAKER IV


Address: 6420 Dutchmans Pkwy, Ste 200, Louisville, KY 40205-3372
Phone: 5028218300

DR. JACOB LAWRENCE NUNAMAKER IV (NPI# 1356411508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356411508
Entity Type Individual
Full Name DR. JACOB LAWRENCE NUNAMAKER IV
Credential M.D.
Practice Address 6420 Dutchmans Pkwy
Ste 200
Louisville
KY 40205-3372
Mailing Address Po Box 776351
Chicago
IL 60677-6351
Practice Telephone 5028218300
Practice Fax Number 5028918338
Mailing Telephone 5025889490
Mailing Fax Number 5022725116
Enumeration Date 2006-11-08
Last Update Date 2019-10-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
43177 KY Allopathic & Osteopathic Physicians
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
TP888 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY ANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE 000000693030 01
KY HUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE 000057080N 01
KY RAILROAD MEDICARE P00992197 01
KY 7100107670 05

Office Location

Street Address 6420 DUTCHMANS PKWY
STE 200
City LOUISVILLE
State KY
Zip Code 40205-3372

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831300797 Medical Center Cardiologists, Psc Internal Medicine 100 Mallard Creek Rd, Suite 150, Louisville, KY 40207-4194 2007-05-24
1437267663 Abdolreza Agahtehrani Internal Medicine 6420 Dutchmans Pkwy, Ste 200, Louisville, KY 40205-3372 2006-08-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093250615 Advanced Vascular Institute Internal Medicine 1374 Highway 192 E, London, KY 40741-3123 2017-01-05
1659770733 Scott C Harris Do Pllc Internal Medicine 112 Windmere Dr, Bowling Green, KY 42103-8720 2014-08-14
1457554750 Tullio Emanuele Md, Psc Internal Medicine 720 Second Street, Suite 204, Bowling Green, KY 42101-5852 2007-06-06
1083823421 Our Lady of Bellefonte Hospital Internal Medicine 1180 Saint Christopher Dr, Ste. 2, Ashland, KY 41101-7055 2007-05-22
1750359857 Michele A Friday Internal Medicine 1180 Saint Christopher Dr Ste 2, Ashland, KY 41101-7055 2006-03-14
1740255314 Avichai Eres Internal Medicine 161 N Eagle Creek Dr, Suite 400, Lexington, KY 40509-9038 2006-02-17
1053310409 Mohammed Kazimuddin Internal Medicine 825 Second Ave, Ste B1, Bowling Green, KY 42101 2005-07-19
1235645607 Appalachian Vascular Institute, Pllc Internal Medicine 243 Roy Campbell Dr Ste B, Hazard, KY 41701-9485 2017-12-21
1770001877 Owensboro Health Medical Group, Inc. Internal Medicine 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 2017-09-08
1346788023 Julie Reinstatler Internal Medicine 800 Rose St, Lexington, KY 40536-7001 2017-02-02
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Competitor

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City LOUISVILLE
Zip Code 40205

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Dataset Information

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.

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