STACIE GROSSFELD (NPI# 1710980842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710980842 |
Entity Type | Individual |
Full Name | STACIE GROSSFELD |
Credential | M.D. |
Practice Address |
4001 Kresge Way Ste 330 Louisville KY 40207-4640 |
Practice Telephone | 5022122663 |
Practice Fax Number | 5022122004 |
Mailing Telephone | 5022122663 |
Mailing Fax Number | 5022122004 |
Enumeration Date | 2005-05-23 |
Last Update Date | 2011-09-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 33575 | KY | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | PTAN | 1299470001 | 01 |
Street Address |
4001 KRESGE WAY STE 330 |
City | LOUISVILLE |
State | KY |
Zip Code | 40207-4640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982144358 | Orthopaedic Specialists Pllc | Non-Pharmacy Dispensing Site | 4001 Kresge Way, Suite 330, Louisville, KY 40207-4640 | 2017-03-03 |
1205283017 | Olivia Price | Physician Assistant | 4001 Kresge Way, Ste 210, Louisville, KY 40207-4640 | 2016-05-22 |
1396117131 | Graf Family Dentistry, Psc | Dentist | 4001 Kresge Way, Suite 120, Louisville, KY 40207-4640 | 2015-10-20 |
1952743940 | Andrew D. Morris | Physician Assistant | 4001 Kresge Way, Suite 200, Louisville, KY 40207-4640 | 2013-07-19 |
1588922652 | Steve P Kuric Md Pllc | Neurological Surgery | 4001 Kresge Way, Suite 238, Louisville, KY 40207-4640 | 2012-04-26 |
1053678359 | Janet L Honchell | Obstetrics & Gynecology | 4001 Kresge Way, Suite 324, Louisville, KY 40207-4640 | 2012-04-12 |
1356620322 | Baptist Medical Associates | Surgery | 4001 Kresge Way, Suite 210, Louisville, KY 40207-4640 | 2011-08-09 |
1104123041 | Andrew D Bailey Md | Clinical Nurse Specialist | 4001 Kresge Way, Suite 130, Louisville, KY 40207-4640 | 2011-02-11 |
1558534859 | Alberto Sebastian Gallo | Surgery | 4001 Kresge Way, Suite 200, Louisville, KY 40207-4640 | 2008-04-08 |
1295906139 | Michael J. Doyle Md Pllc | Neurological Surgery | 4001 Kresge Way, Suite 238, Louisville, KY 40207-4640 | 2008-03-19 |
Find all providers in the same location |
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 | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326674797 | Sarah Cb Tucker | Specialist | 1169 Eastern Pkwy, Suite 2313, Louisville, KY 40217-1417 | 2020-03-18 |
1104457795 | David B. Beltz | Specialist | 6911 Ravenna Ave Ne, Louisville, OH 44641-4464 | 2020-01-31 |
1306480967 | Shawnas Monique Moore | Specialist | 3007 Dr William G Weathers Dr, Louisville, KY 40211-1891 | 2019-11-06 |
1083124366 | Kentuckiana Pain Specialist Ambulatory Surgery Center | Specialist | 3710 Chamberlain Ln Ste B, Louisville, KY 40241-2002 | 2017-10-02 |
1902345994 | Hps Kentucky LLC | Specialist | 444 Sourth First Street, Louisville, KY 40202 | 2017-02-23 |
1134578032 | Fernando Pajo Jr. | Specialist | 5007 Old Federal Rd, Louisville, KY 40207-1200 | 2016-06-10 |
1144616749 | James David Dorneman Jr. | Specialist | 4346 Bowling Blvd, Louisville, KY 40207-5405 | 2015-04-09 |
1609269414 | Preston Medical Center | Specialist | 927 S 3rd St, Louisville, KY 40203-2215 | 2015-03-18 |
1821437468 | Cordelia Marie Devine | Specialist | 1100 Envoy Cir, Suite 1105, Louisville, KY 40299-1960 | 2013-06-17 |
1154765550 | Therapy Associates of Louisville, LLC | Specialist | 4810 Poplar Place Dr Ste 100, Louisville, KY 40213-2383 | 2013-04-29 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40207 |
Please comment or provide details below to improve the information on STACIE GROSSFELD.
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.