MICHAEL THOMAS CASNELLIE (NPI# 1518967371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518967371 |
| Entity Type | Individual |
| Full Name | MICHAEL THOMAS CASNELLIE |
| Credential | M.D. |
| Practice Address |
3615 Newburg Rd Louisville KY 40218-3368 |
| Practice Telephone | 5025831011 |
| Practice Fax Number | 8558590123 |
| Mailing Telephone | 5025831011 |
| Mailing Fax Number | 8558590123 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2019-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
39494 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE- NORTON LEATHERMAN SPINE | K046980 | 01 |
| KY | PASSPORT HEALTH-NORTON LEATHERMAN SPINE | 50040105 | 01 |
| KY | 64104706 | 05 | |
| KY | PASSPORT ADVANTAGE | 2448515000 | 01 |
| KY | MEDICARE DME GRP # | 0343740001 | 01 |
| KY | PASSPORT | 50007360 | 01 |
| KY | ANTHEM- NORTON LEATHERMAN SPINE | 771665 | 01 |
| KY | RAILROAD MEDICARE | P00314315 | 01 |
| Street Address |
3615 NEWBURG RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218-3368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649889064 | Katherine Renee Germak | Physical Therapy Assistant | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2020-07-31 |
| 1285281113 | Brooke Duncan Stacy | Massage Therapist | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2019-08-26 |
| 1760037824 | William Smith | Physical Therapist | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2019-08-06 |
| 1487131314 | Acuity Rehab | Physical Therapist | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2018-07-24 |
| 1669967881 | Aptiva Health | Physical Therapist | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2018-06-29 |
| 1932617453 | David Koonce | Nurse Practitioner | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2018-01-18 |
| 1538359773 | Lutoria Elizabeth Hebert | Physical Therapist | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982879607 | Jeffrey Lynn Gum | Orthopaedic Surgery | 210 East Gray Street, Louisville, KY 40202-1902 | 2008-04-23 |
| 1316942006 | David P Rouben | Orthopaedic Surgery | 8620 Biggin Hill Ln, Louisville, KY 40220 | 2005-06-17 |
| 1972119220 | Joseph Morreale Md | Orthopaedic Surgery | 90 Health Park Dr Ste 130, Louisville, CO 80027-9586 | 2020-09-22 |
| 1073133054 | Joseph Laratta Md Spine Surgeon, LLC | Orthopaedic Surgery | 1169 Eastern Pkwy Ste 400, Louisville, KY 40217-1412 | 2020-04-20 |
| 1760995443 | David P Rouben Md Psc | Orthopaedic Surgery | 8620 Biggin Hill Ln, Louisville, KY 40220 | 2017-11-16 |
| 1821507005 | Mikhail Lew Perez Ver | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2017-09-20 |
| 1982019998 | Kimona Issa | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2014-06-27 |
| 1891058335 | Fabian Carballo Madrigal | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2012-06-20 |
| 1871852640 | University Orthopaedic Departmental Entity Inc | Orthopaedic Surgery | 530 S Jackson St, Louisville, KY 40202-1675 | 2012-05-14 |
| 1346506052 | Joseph L Laratta | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2012-04-06 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
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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.