LOUISVILLE ORTHOPAEDIC CLINIC & SPORTS REHABILITATION CENTER PSC (NPI# 1407965015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407965015 |
| Entity Type | Organization |
| Organization Name | LOUISVILLE ORTHOPAEDIC CLINIC & SPORTS REHABILITATION CENTER PSC |
| Practice Address |
4130 Dutchmans Ln Ste 300 Louisville KY 40207-4710 |
| Mailing Address |
4130 Dutchmans Ln Suite 300 Louisville KY 40207-4710 |
| Practice Telephone | 5028971794 |
| Practice Fax Number | 5028973852 |
| Mailing Telephone | (502) 897-1794 |
| Mailing Fax Number | 5028973852 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-09-27 |
| Authorized Official Name | RICHARD A SWEET (MD/ PRESIDENT/ AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5028971794 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100109080 | 05 | |
| KY | 7100109060 | 05 | |
| KY | 90135567 | 05 | |
| IN | 100384780A | 05 | |
| KY | 65933426 | 05 | |
| KY | 7100145820 | 05 | |
| IN | 201294280A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396101663 | Louisville Orthopaedic Clinic & Sports Rehabilitation Center Psc | Pain Medicine | 3605 Northgate Ct Ste 207, New Albany, IN 47150-6422 | 2016-01-02 |
| Street Address |
4130 DUTCHMANS LN STE 300 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793563 | Amanda Rae Allison | Nurse Practitioner | 4130 Dutchmans Ln Ste 300, Louisville, KY 40207-4710 | 2019-01-08 |
| 1710467543 | Sarah B. Zerhusen | Nurse Practitioner | 4130 Dutchmans Ln Ste 300, Louisville, KY 40207 | 2018-08-21 |
| 1255889820 | Katherine L. Harrell | Nurse Practitioner | 4130 Dutchmans Ln Ste 300, Louisville, KY 40207 | 2016-09-13 |
| 1932543048 | Nicholas Christian Foeger | Orthopaedic Surgery | 4130 Dutchmans Ln Ste 300, Louisville, KY 40207-4710 | 2013-04-18 |
| 1447501143 | Catherine O Bell | Physician Assistant | 4130 Dutchmans Ln Ste 300, Louisville, KY 40207-4710 | 2012-09-21 |
| 1821357773 | Richard Alexander Sweet II | Orthopaedic Surgery | 4130 Dutchmans Ln Ste 300, Louisville, KY 40207-4710 | 2012-05-13 |
| 1609918879 | Aaron Compton | Pain Medicine | 4130 Dutchmans Ln Ste 300, Louisville, KY 40207-4710 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790322170 | Louisville Spine Institute LLC | Orthopaedic Surgery | 6500 Glenridge Park Pl Ste 9, Louisville, KY 40222-3450 | 2019-12-05 |
| 1679077531 | Travis Parkulo | Orthopaedic Surgery | 550 South Jackson Street 1st Floor Acb, Louisville, KY 40292-1219 | 2018-03-23 |
| 1730425208 | Norwood Kaye Ford Jr. | Orthopaedic Surgery | 7804 Creekbottom Rd, Louisville, KY 40241-5507 | 2013-01-02 |
| 1700148483 | Kenneth Saad Chakour | Orthopaedic Surgery | 550 South Jackson Street, 1st Floor, Ambulatory Care Building, Louisville, KY 40292 | 2012-06-08 |
| 1962769257 | Victor Fehrenbacher | Orthopaedic Surgery | 9880 Angies Way Ste 230, Louisville, KY 40241 | 2012-04-12 |
| 1376860239 | Gb Family Corp | Orthopaedic Surgery | 400 W Market St Ste 1800, Louisville, KY 40202-3362 | 2010-04-30 |
| 1740506534 | Lonnie Rhea Douglas | Orthopaedic Surgery | 1277 Springdale Dr, Louisville, KY 40213-1736 | 2010-04-19 |
| 1376797985 | Peter T. Kirsch | Orthopaedic Surgery | 8003 Vine Crest Ave, Unit 12, Louisville, KY 40222-4695 | 2008-11-10 |
| 1316196975 | Nyagon G. Duany | Orthopaedic Surgery | 210 E Gray St Ste 604, Louisville, KY 40202-3902 | 2008-09-18 |
| 1215123138 | Jeffrey Nagy Fadel | Orthopaedic Surgery | 2932 Breckenridge Ln Ste 1, Louisville, KY 40220-1409 | 2007-09-25 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on LOUISVILLE ORTHOPAEDIC CLINIC & SPORTS REHABILITATION CENTER PSC.
| 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.