DR. RYAN JEFFREY KRUPP (NPI# 1467590190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467590190 |
| Entity Type | Individual |
| Full Name | DR. RYAN JEFFREY KRUPP |
| Credential | M.D. |
| Practice Address |
9880 Angies Way Ste 250 Louisville KY 40241-2865 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5023946341 |
| Practice Fax Number | 5023946340 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2019-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
41945 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE- NORTON ORTHO TRAUMA CARE | P00694596 | 01 |
| KY | CIGNA- NORTON ORTHO TRAUMA CARE | 5220599 | 01 |
| KY | MEDICARE- NORTON ORTHO TRAUMA CARE | 00533045 | 01 |
| KY | MD WISE- NORTON ORTHO TRAUMA CARE | 200910490 | 01 |
| KY | ANTHEM- NORTON ORTHO TRAUMA CARE | 000000575433 | 01 |
| IN | MEDICAID INDIANA- NORTON ORTHO TRAUMA CARE | 200910490 | 01 |
| KY | PASSPORT ADVANTAGE- NORTON ORTHO TRAUMA CARE | 3545574000 | 01 |
| KY | PASSPORT- NORTON ORTHO TRAUMA CARE | 50020863 | 01 |
| KY | HUMANA- NORTON ORTHO TRAUMA CARE | 000023033P | 01 |
| KY | MEDICAID KY- NORTON ORTHO TRAUMA CARE | 7100061920 | 01 |
| KY | HEALTHY INDIANA PLAN- NORTON ORTHO TRAUMA CARE | 200910490 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4950 Norton Healthcare Blvd Ste 310a, Louisville, KY 402412848 | 5023946341 | 5023946340 |
| Street Address |
9880 ANGIES WAY STE 250 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194224048 | Molly Roberson | Physician Assistant | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2018-02-06 |
| 1326422171 | Robert Shelley Jr. | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2015-07-10 |
| 1912391053 | Jonathan David Gillig | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2015-03-26 |
| 1316365653 | Kevin Himschoot | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2014-04-03 |
| 1962768366 | Abigail B. Gardner | Physician Assistant | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2012-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720099187 | Michael P Wertz | Orthopaedic Surgery | 1032 S 88th St, Louisville, CO 80027-4644 | 2006-08-11 |
| 1376554741 | John David Grauer | Orthopaedic Surgery | 80 Health Park Dr Ste 270, Louisville, CO 80027-4644 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720349558 | Christopher J Schaefer | Orthopaedic Surgery | 740 S Limestone Rm K401, Lexington, KY 40536-0001 | 2012-06-07 |
| 1396057527 | Jarrod Russell Smith | Orthopaedic Surgery | 1000 Ashland Dr Ste 105, Ashland, KY 41101-7092 | 2010-07-02 |
| 1578797395 | Jerrod J Felder | Orthopaedic Surgery | 740 S. Limestone Street, K401 Kentucky Clinic, Lexington, KY 40536-0284 | 2009-05-07 |
| 1992832679 | Advanced Orthopaedics and Sports Medicine of Ky Pllc | Orthopaedic Surgery | 789 Eastern Byp Ste 5, Richmond, KY 40475-2407 | 2007-02-28 |
| 1437798261 | Jorge Jackson | Orthopaedic Surgery | 2831 New Hartford Rd, Owensboro, KY 42303 | 2019-12-26 |
| 1558916601 | Kayla Hanson | Orthopaedic Surgery | 101 Windsor Path, Georgetown, KY 40324-9617 | 2019-08-06 |
| 1033601091 | Orthocincy | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2018-06-05 |
| 1770932980 | Smith Orthopedics & Sports Medicine, Psc | Orthopaedic Surgery | 1000 Ashland Dr, Ste. 105, Ashland, KY 41101-7084 | 2016-06-08 |
| 1245593946 | Orthocincy | Orthopaedic Surgery | 1955 Dixie Hwy, Suite K, Ft Wright, KY 41011-2792 | 2012-06-19 |
| 1760779466 | Spring View Physician Practices, LLC | Orthopaedic Surgery | 420 Loretto Rd, Suite 600, Lebanon, KY 40033-1628 | 2011-07-01 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
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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.