STACIE GROSSFELD


Address: 4001 Kresge Way, Ste 330, Louisville, KY 40207-4640
Phone: 5022122663

STACIE GROSSFELD (NPI# 1710980842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 33575 KY Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY PTAN 1299470001 01

Office Location

Street Address 4001 KRESGE WAY
STE 330
City LOUISVILLE
State KY
Zip Code 40207-4640

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City LOUISVILLE
Zip Code 40207

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Dataset Information

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.

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