JESSICA MARIE VAVRA (NPI# 1467892729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467892729 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE VAVRA |
| Credential | M.D. |
| Practice Address |
550 S Jackson St Louisville KY 40202 |
| Mailing Address |
550 S Jackson St Louisville KY 40202-1622 |
| Practice Telephone | 5028526880 |
| Mailing Telephone | 5028526880 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 50921 | KY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | L2492966 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
550 S JACKSON ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083478 | Haeshik Gorr | Internal Medicine | 550 S Jackson St, Louisville, KY 40202-1622 | 2005-09-20 |
| 1346867611 | Taylor Hawkins | Pharmacist | 550 S Jackson St, Louisville, KY 40202-1622 | 2020-07-02 |
| 1811510415 | Courtni Breann Carwile | Registered Nurse | 550 S Jackson St, Louisville, KY 40202-1622 | 2020-05-19 |
| 1144849704 | Wylie Chen Tang | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Louisville, KY 40202-1622 | 2020-04-14 |
| 1427686971 | Vishwa Shah | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Louisville, KY 40202-1622 | 2020-03-31 |
| 1740818004 | Shannon Rose Strader | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Louisville, KY 40202-1622 | 2020-03-31 |
| 1871121350 | Molly Raye Bedenbaugh | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Louisville, KY 40202-1622 | 2020-03-30 |
| 1841828670 | Austin Sowers | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Louisville, KY 40202-1622 | 2020-03-28 |
| 1538700950 | Rex Dewan | Nurse Practitioner | 550 S Jackson St, Louisville, KY 40202-1622 | 2019-10-07 |
| 1043866155 | Alok Ravindra Amraotkar | General Practice | 550 S Jackson St, Acb 3rd Floor, Louisville, KY 40202-1622 | 2019-08-14 |
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861752909 | Frank Ryan Wermeling | Plastic Surgery | 4001 Kresge Way Ste 220, Louisville, KY 40207-4640 | 2012-05-23 |
| 1265579148 | Ildiko G. Mikos | Plastic Surgery | 4123 Dutchmans Ln Ste 300, Louisville, KY 40207 | 2007-01-31 |
| 1164577615 | Marc J Salzman | Plastic Surgery | 4702 Chamberlain Ln, Louisville, KY 40241-1106 | 2007-01-24 |
| 1831256023 | Lee Corbett | Plastic Surgery | 13125 Eastpoint Park Boulevard, Suite 102, Louisville, KY 40223 | 2007-01-03 |
| 1083721633 | Stephanie Mosley | Plastic Surgery | 127 Fairfax Ave, Louisville, KY 40207-4905 | 2006-08-23 |
| 1417937376 | Nana N Mizuguchi | Plastic Surgery | 2341 Lime Kiln Lane, Louisville, KY 40222 | 2006-01-18 |
| 1922008747 | Michelle D. Palazzo | Plastic Surgery | 225 Abraham Flexner Way, Suite 700, Louisville, KY 40202-1846 | 2005-07-22 |
| 1275026643 | Scott Luther Replogle | Plastic Surgery | 1124 W Dillon Rd Ste 1, Louisville, CO 80027-1290 | 2018-06-11 |
| 1043620412 | Samuel Louis Corey II | Plastic Surgery | 550 S Jackson St, Louisville, KY 40202-1622 | 2014-05-06 |
| 1316383391 | Michael Keyes | Plastic Surgery | 550 South Jackson Street, Ambulatory Care Building, 2nd Floor, Dept of Surgery, Louisville, KY 40202-1622 | 2013-05-16 |
| 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.