ROBERT DAVID VICHICH


Address: 100 Mallard Creek Rd, Suite 406, Louisville, KY 40207-4194
Phone: 5028954607

ROBERT DAVID VICHICH (NPI# 1780983569) 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) 1780983569
Entity Type Individual
Full Name ROBERT DAVID VICHICH
Credential M.D.
Practice Address 100 Mallard Creek Rd
Suite 406
Louisville
KY 40207-4194
Practice Telephone 5028954607
Practice Fax Number 5028954586
Mailing Telephone 8594920285
Enumeration Date 2011-03-20
Last Update Date 2014-12-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 01073793A IN Allopathic & Osteopathic Physicians
Y 207P00000X Emergency Medicine 46956 KY Allopathic & Osteopathic Physicians

Office Location

Street Address 100 MALLARD CREEK RD
SUITE 406
City LOUISVILLE
State KY
Zip Code 40207-4194

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285622779 Cardiac Care Center of Louisville, Pllc Internal Medicine 100 Mallard Creek Rd, Suite 150, Louisville, KY 40207-4194 2005-10-10
1497130017 Phyllis Eugenia Moore Nurse Practitioner 100 Mallard Creek Rd, Suite 406, Louisville, KY 40207-4194 2015-07-24
1104213388 Chad C Lanphear Anesthesiologist Assistant 100 Mallard Creek Rd, Louisville, KY 40207-4194 2015-04-24
1598163958 Paige Faye Eggers Registered Nurse 100 Mallard Creek Rd, Suite 320, Louisville, KY 40207-4194 2014-12-16
1407271562 Brittney Leigh Porter Registered Nurse 100 Mallard Creek Rd, Suite 320, Louisville, KY 40207-4194 2014-02-26
1548691876 Heath Webb Perkins Registered Nurse 100 Mallard Creek Rd, Suite 320, Louisville, KY 40207-4194 2013-12-12
1184066474 Alison Elizabeth Hewett Nurse Practitioner 100 Mallard Creek Rd, Ste. 320, Louisville, KY 40207-4194 2013-07-27
1457795734 David J Roach Emergency Medicine 100 Mallard Creek Rd, Suite 406, Louisville, KY 40207-5166 2013-04-17
1831434505 Lori Sexton Specialist/Technologist, Other 100 Mallard Creek Rd, Suite 390, Louisville, KY 40207-4194 2012-12-06
1790020469 Hanna Vaughn Specialist/Technologist, Other 100 Mallard Creek Rd, Suite 390, Louisville, KY 40207-4194 2012-12-06
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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 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316332448 Christopher Fenzel Emergency Medicine 1850 Bluegrass Avenue, Louisville, KY 40215 2015-04-06
1477963163 Tiffany A Campbell Emergency Medicine 530 South Jackson St., #c1h17, Louisville, KY 40202 2014-05-02
1154748382 Samuel Rume Aya Emergency Medicine 530 South Jackson St, #c1h17, Department of Emergency Medicine, Louisville, KY 40202 2014-03-26
1598039315 Mary Barbara Sowers Emergency Medicine 611 Emery Rd, Louisville, KY 40206 2012-02-24
1821383944 Shaun M Reynolds Emergency Medicine 530 S Jackson St # C1h17, Department of Emergency Medicine, U of Louisville, Louisville, KY 40202-1675 2011-06-16
1497071674 Jordan Taylor Brown Emergency Medicine 10904 Keene Rd, Louisville, KY 40241-4860 2010-04-14
1366679342 Devin Sandlin Emergency Medicine 1907 Stevens Ave, Louisville, KY 40205-1048 2009-06-17
1801023320 Mark Timothy Scallon Rukavina Emergency Medicine 2400 Mellwood Ave, Apt 1003, Louisville, KY 40206-1061 2009-06-11
1962664961 Amy Lynn Minix Emergency Medicine 3504 Birchmore Pl, Louisville, KY 40245-8475 2008-06-30
1912169673 Valerie King Emergency Medicine 2779 Maple Rd, Louisville, KY 40205-1735 2008-06-25
Find all providers in LOUISVILLE

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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