MR. RICHARD BRIAN STALL JR. (NPI# 1487102356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487102356 |
| Entity Type | Individual |
| Full Name | MR. RICHARD BRIAN STALL JR. |
| Credential | CAA |
| Practice Address |
320 Whittington Pkwy Suite 301 Louisville KY 40222-4928 |
| Practice Telephone | 5026255584 |
| Practice Fax Number | 5024262264 |
| Mailing Telephone | 5026255584 |
| Mailing Fax Number | 5024262264 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2017-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 75000005A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
320 WHITTINGTON PKWY SUITE 301 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40222-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321412 | Alan K Gouge | Nurse Anesthetist, Certified Registered | 320 Whittington Pkwy, Ste 301, Louisville, KY 40222-4928 | 2005-07-28 |
| 1922516335 | Gordon Dooley | Nurse Anesthetist, Certified Registered | 320 Whittington Pkwy, Louisville, KY 40222-4928 | 2018-01-19 |
| 1700327749 | Katharine Elin Stahon | Anesthesiologist Assistant | 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 | 2017-03-09 |
| 1164806709 | James Colby French | Registered Nurse | 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 | 2015-07-14 |
| 1710378880 | Tamera Lynn Harris | Nurse Anesthetist, Certified Registered | 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 | 2015-02-11 |
| 1437556842 | Kristofer Neale Warren | Registered Nurse | 320 Whittington Pkwy, Suite 320, Louisville, KY 40222-4928 | 2014-12-01 |
| 1538565742 | Jennifer Lee Priest Wiseman | Registered Nurse | 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 | 2014-11-16 |
| 1396153631 | Ashley Ann Kelly | Registered Nurse | 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 | 2014-07-31 |
| 1922410612 | Steven A. Garvin | Registered Nurse | 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 | 2014-05-29 |
| 1043636541 | Amanda Waddell Carpenter | Registered Nurse | 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 | 2014-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
| 1982162509 | Sydney Sleadd | Massage Therapist | 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 | 2019-03-04 |
| 1205390127 | Rebecca A Street | Marriage & Family Therapist | 8134 New La Grange Rd Ste 227, Louisville, KY 40222 | 2019-01-24 |
| 1689176166 | Andrew Pennington | Social Worker | 1015 Dorsey Ln., Louisville, KY 40222 | 2018-03-01 |
| 1578085957 | Megan Lusco | Case Manager/Care Coordinator | 312 Whittington Parkway, Suite 020, Louisville, KY 40222 | 2017-07-07 |
| 1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
| 1578094736 | Jacqueline Ward | Speech-Language Pathologist | 910 Fenley Avenue, Louisville, KY 40222 | 2017-03-21 |
| 1295195907 | Carol Massey | Psychologist | 7400 Newlagrange Roed, 308, Louisville, KY 40222 | 2016-02-24 |
| 1588047260 | Melissa Cosby | Case Manager/Care Coordinator | 312 Whittington Parkway Suite 020, Louisville, KY 40222 | 2015-06-30 |
| Find all providers in zip 40222 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700327749 | Katharine Elin Stahon | Anesthesiologist Assistant | 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 | 2017-03-09 |
| 1821549247 | Elizabeth Anne Rivera | Anesthesiologist Assistant | 320 Whittington Pkwy Ste 301, Louisville, KY 40222-4919 | 2016-10-20 |
| 1104213388 | Chad C Lanphear | Anesthesiologist Assistant | 100 Mallard Creek Rd, Louisville, KY 40207-4194 | 2015-04-24 |
| 1386990232 | University of Louisville Physicians, Inc. | Anesthesiologist Assistant | 530 S Jackson St, Louisville, KY 40202-1675 | 2012-07-30 |
| 1225066467 | Scott Thomas Woodward | Anesthesiologist Assistant | 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306969142 | Jenkins Healthcare Company Inc. Dba Jenkins Community Hospital | Anesthesiologist Assistant | 9480 Highway 805, Jenkins, KY 41537 | 2007-04-09 |
| City | LOUISVILLE |
| Zip Code | 40222 |
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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.