DIVYA B CANTOR (NPI# 1710998836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710998836 |
| Entity Type | Individual |
| Full Name | DIVYA B CANTOR |
| Other Name | DIVYA ROUBEN |
| Credential | MD |
| Practice Address |
2215 Portland Ave Louisville KY 40212-1033 |
| Practice Telephone | 5027748631 |
| Practice Fax Number | 5027728189 |
| Mailing Telephone | 5027748631 |
| Mailing Fax Number | 5027728189 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2015-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | G72946 | CA | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 30033 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT | 1051306 | 01 |
| KY | BCBS | 2623 | 01 |
| KY | 64300338 | 05 |
| Street Address |
2215 PORTLAND AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40212-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003810920 | Julia E Richerson | Pediatrics | 2215 Portland Ave, Louisville, KY 40212-1033 | 2005-06-09 |
| 1609431097 | Pamela Lynn Ratcliffe | Social Worker | 2215 Portland Ave, Louisville, KY 40212-1033 | 2019-05-01 |
| 1518453075 | Dana Renee Singletary | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2018-07-09 |
| 1881105823 | Emily B Franck | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2017-10-17 |
| 1952754749 | Bradley Randall Congleton | Dentist | 2215 Portland Ave, Louisville, KY 40212-1033 | 2016-07-18 |
| 1164874160 | Patricia Guzman Rojas | Family Medicine | 2215 Portland Ave, Louisville, KY 40212-1033 | 2016-07-01 |
| 1750738936 | Paula W. Minervino | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2016-05-18 |
| 1043670391 | Rod Ali Erfani | Dentist | 2215 Portland Ave, Louisville, KY 40212 | 2016-02-29 |
| 1013389022 | Izegbea M. Cannon | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2015-10-29 |
| 1659742914 | Tonia Marie Snyder-myers | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2015-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003433111 | Shanita Flanagan | Home Health Aide | 4519 Southwestern Parkway, Louisville, KY 40212 | 2020-07-06 |
| 1184118887 | Denise Goldsmith-kelley | Licensed Practical Nurse | 2611 Northwestern Pkwy, Louisville, KY 40212 | 2018-06-18 |
| 1477605426 | Market St Dental Office Psc | Dentist | 2410 West Market St, Louisville, KY 40212 | 2007-01-18 |
| 1528118601 | Portland Dental Psc | Clinic/Center | 465 North 26th Street, Louisville, KY 40212 | 2007-01-11 |
| 1790393643 | Quality Home Care Services, LLC | In Home Supportive Care | 4519 Southwestern Parkway, Same, Louisville, KY 40212 | 2020-07-16 |
| 1659884872 | New Leaf Clinic | Clinic/Center | 2910 W Jefferson St, Louisville, KY 40212 | 2017-11-09 |
| 1164754008 | Deborah J Moreau | Nurse Practitioner | 234 Amy Ave, Louisville, KY 40212 | 2010-02-03 |
| 1982617387 | Julie R Aull | Physician Assistant | 234 Amy Ave, Louisville, KY 40212 | 2006-08-15 |
| 1255816401 | Restoration Center Inc. | Respite Care | 2611 Northwestern Pkwy, Louisville, KY 40212-1029 | 2018-10-03 |
| 1386038040 | Lufield Dialysis LLC | Clinic/Center | 2118 Portland Ave, Louisville, KY 40212-1032 | 2015-03-20 |
| Find all providers in zip 40212 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487285029 | Kenneth Lee Mudd | Obstetrics & Gynecology | 1081 Eastern Pkwy, Louisville, KY 40217-1559 | 2020-02-03 |
| 1518321959 | Celia M O'brien | Obstetrics & Gynecology | 4130 Dutchmans Ln Ste 400, Louisville, KY 40207-4711 | 2016-04-12 |
| 1801162540 | Sarah Hargrave | Obstetrics & Gynecology | 4130 Dutchmans Lane, Suite 400, Louisville, KY 40207-4711 | 2012-03-27 |
| 1942586987 | Robert Kilmer Hunter II | Obstetrics & Gynecology | 4612 Chamberlain Ln, Suite 200, Louisville, KY 40241-1071 | 2011-10-21 |
| 1467741769 | Sarah Louise Todd | Obstetrics & Gynecology | 529 S Jackson St Fl 3, Louisville, KY 40202-3229 | 2011-04-07 |
| 1215227558 | Jared Nathan Rollins Bolton | Obstetrics & Gynecology | 601 S Floyd St Ste 350, Louisville, KY 40202-1938 | 2011-04-07 |
| 1124351168 | Kamla Gauri | Obstetrics & Gynecology | 719 Fehr Rd, Louisville, KY 40206-2987 | 2009-09-09 |
| 1114114550 | Stephanie Kresch Wilder | Obstetrics & Gynecology | 401east Chestnut Street, Ste 410, Louisville, KY 40202 | 2007-10-01 |
| 1346448156 | Maureen E Marra | Obstetrics & Gynecology | 2069 Douglass Blvd, Louisville, KY 40205-1927 | 2007-07-03 |
| 1356472971 | Cornelia Maria Poston | Obstetrics & Gynecology | 4420 Dixie Hwy Ste 128, Louisville, KY 40216-2996 | 2007-03-07 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40212 |
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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.