ABDUL M MEMON (NPI# 1720193642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720193642 |
Entity Type | Individual |
Full Name | ABDUL M MEMON |
Credential | MD |
Practice Address |
4402 Churchman Avenue Suite 305 Louisville KY 40215 |
Practice Telephone | 5023689590 |
Practice Fax Number | 5023689616 |
Mailing Telephone | 5023689590 |
Mailing Fax Number | 5023689616 |
Enumeration Date | 2006-08-20 |
Last Update Date | 2014-09-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
R8838 | MO | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
40505 | KY | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
R8838 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ANTHEM | 000000511828 | 01 | |
MO | 201413549 | 05 | |
IN | MEDICARE | 213320E | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104128305 | Abdul Samad Memon | Physician Assistant | 450 W Sr 434 Ste 3010, Longwood, FL 32750-5196 | 2010-11-22 |
1093781346 | Abdul Q Memon | Specialist | 5882 S Hospital Dr Ste 1, Globe, AZ 85501 | 2006-02-27 |
1043201650 | Abdul Q Memon | Anesthesiology | 403 Coachman Ln, Houston, TX 77024-6401 | 2005-11-02 |
1841272077 | Abdul Majid Memon | Emergency Medicine | 1611 Nw 12th Ave, Ecc Et 1195, Miami, FL 33136-1005 | 2005-11-15 |
Street Address |
4402 CHURCHMAN AVENUE SUITE 305 |
City | LOUISVILLE |
State | KY |
Zip Code | 40215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750382792 | Caritas Rehabilitation Services LLC | Clinic/Center | 4402 Churchman Avenue, Suite 103, Louisville, KY 40215 | 2005-08-01 |
1598816209 | Kentucky Orthopedic Specialists Pllc | Orthopaedic Surgery | 4402 Churchman Avenue, Suite 406, Louisville, KY 40215 | 2007-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
Find all providers in zip 40215 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841661410 | Sleep Care Specialist of Louisville | Internal Medicine | 250 E Liberty St Ste 902, Louisville, KY 40202-1538 | 2015-10-08 |
1780926279 | Inspired Medical Services, LLC | Internal Medicine | 9805 Brownsboro Rd, Suite 101, Louisville, KY 40241-1125 | 2013-03-22 |
1437313475 | Alliance Pulmonary Associates Inc | Internal Medicine | 5860 Louisville Street Ne, Louisville, OH 44641 | 2008-07-17 |
1902831761 | John Wesley Mcconnell | Internal Medicine | 100 W Market St Ste 2, Louisville, KY 40202-1332 | 2006-07-11 |
1992737886 | Tanya A Wiese | Internal Medicine | 4950 Norton Healthcare Blvd Ste 208, Louisville, KY 40241-2847 | 2006-07-07 |
1962472738 | Karen Ruth Habenstein | Internal Medicine | 3532 Ephraim Mcdowell Dr, Louisville, KY 40205-3224 | 2006-01-25 |
1225030224 | Edwin Carmouche Md Pllc | Internal Medicine | 152 Chenoweth Ln, Louisville, KY 40207-2651 | 2005-08-10 |
1730187790 | Timothy Robert Killeen | Internal Medicine | 4606 Greenwood Rd, Louisville, KY 40258 | 2005-07-13 |
1831693985 | Harkirat Mann | Internal Medicine | 7926 Preston Hwy, Louisville, KY 40219 | 2018-03-22 |
1275949190 | Samantha Baah | Internal Medicine | 3430 Newburg Rd Ste 150, Louisville, KY 40218-2497 | 2014-07-11 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40215 |
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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.