DERRICK EDWARD TOBIAS (NPI# 1386617470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386617470 |
| Entity Type | Individual |
| Full Name | DERRICK EDWARD TOBIAS |
| Credential | M.D |
| Practice Address |
200 E Chestnut St Ste 303 Louisville KY 40202-1831 |
| Mailing Address |
Po Box 766351 Chicago IL 60677-6351 |
| Practice Telephone | 5026295552 |
| Practice Fax Number | 5026293132 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2016-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 39298 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | CIGNA - NIS | 0752823 | 01 |
| PASSPORT - NINPTSPEC | 50014705 | 01 | |
| KY | 64105570 | 05 | |
| KY | RR-MCR-KY - NIS | P00460518 | 01 |
| ANTHEM - NINPTSPEC | 000000515641 | 01 | |
| KY | SIHO - NIS | 085911 | 01 |
| PAD - NINPTSPEC | 2648495000 | 01 | |
| KY | HUMANA - NIS | 000028412O | 01 |
| IN | 200803120 | 05 |
| Street Address |
200 E CHESTNUT ST STE 303 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370286 | Sergio A Cardinali | Internal Medicine | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2005-07-15 |
| 1275179830 | Jillian Scott | Physician Assistant | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2019-11-19 |
| 1154988699 | Candace Middleton-combs | Nurse Practitioner | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2019-05-21 |
| 1477063790 | Jenna Elizabeth Foushee | Internal Medicine | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2017-10-02 |
| 1376067868 | Elizabeth Grilliot Fahey | Physician Assistant | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2017-07-27 |
| 1043747645 | Charity Ann Batman | Nurse Practitioner | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2017-05-15 |
| 1912445057 | Elissa Faith Johnson | Nurse Practitioner | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2017-02-09 |
| 1326590381 | Clint Hedinger | Nurse Practitioner | 200 E Chestnut St Ste 303, Louisville, KY 40202 | 2016-10-25 |
| 1205284726 | Serena K Nevitt | Nurse Practitioner | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2016-05-25 |
| 1851753818 | Yousef Hammudeh | Internal Medicine | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2016-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280216 | Hmps Internal Medicine of West Louisville Pllc | Internal Medicine | 2730 Brownsboro Rd Apt 164, Louisville, KY 40206-1268 | 2020-09-18 |
| 1174085203 | New Hope Recovery LLC | Internal Medicine | 2503 Bush Ridge Dr Ste A, Louisville, KY 40245-5885 | 2019-04-06 |
| 1619452364 | Peak Internal Medicine | Internal Medicine | 400 S Mccaslin Blvd Ste 200, Louisville, CO 80027-9701 | 2018-09-28 |
| 1245729870 | Mark Louis Siefring | Internal Medicine | 842 Parkway Dr, Louisville, KY 40217-2456 | 2018-05-09 |
| 1306341417 | Louisville Primary Care | Internal Medicine | 801 Barret Ave Ste 112, Louisville, KY 40204-1732 | 2018-03-29 |
| 1467966143 | Ray Richard Taylor | Internal Medicine | 1618 Polo Club Ct, Louisville, KY 40245-4482 | 2017-11-17 |
| 1972024768 | Paridhi Mathur | Internal Medicine | 6801 Dixie Hwy Ste 40258, Louisville, KY 40258-3913 | 2017-06-30 |
| 1780115998 | Preston Urgent Care, Inc | Internal Medicine | 4822 Preston Hwy, Louisville, KY 40213-2226 | 2017-03-21 |
| 1255873832 | Belissa Malier Ramos Chaves | Internal Medicine | 550 S Jackson St Bldg A, Louisville, KY 40202-1622 | 2016-11-14 |
| 1326499161 | Cristina Salmon | Internal Medicine | 550 S Jackson St Rm A3r40, Louisville, KY 40202-1622 | 2016-06-23 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.