KENTUCKIANA EMERGENCY PHYSICIANS, PLLC (NPI# 1801833140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801833140 |
| Entity Type | Organization |
| Organization Name | KENTUCKIANA EMERGENCY PHYSICIANS, PLLC |
| Practice Address |
1 Audubon Plaza Dr Louisville KY 40217-1318 |
| Mailing Address |
Po Box 4778 Bloomington IN 47402-4778 |
| Practice Telephone | 5026367111 |
| Mailing Telephone | 8123361690 |
| Mailing Fax Number | 8123491311 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2010-03-25 |
| Authorized Official Name | DR. MICHAEL D BISHOP (CEO) |
| Authorized Official Telephone | 8778893383 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 164W00000X | Licensed Practical Nurse | Nursing Service Providers | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65909244 | 05 | |
| IN | 200226910 | 05 | |
| KY | 65932972 | 05 | |
| KY | 78905262 | 05 | |
| KY | 65931719 | 05 | |
| KY | 65931727 | 05 |
| Street Address |
1 AUDUBON PLAZA DR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40217-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668818 | Bryce E Schuster | Surgery | 1 Audubon Plaza Dr, Louisville, KY 40217 | 2005-06-01 |
| 1073123212 | Jenna N Gipperich | Physician Assistant | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2020-08-03 |
| 1588281448 | Spencer Lee Hammack | Podiatrist | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2020-06-26 |
| 1245857101 | Kyle Schwickerath | Podiatrist | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2020-06-26 |
| 1174142103 | Michael Stephen Myers | Nurse Practitioner | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2020-04-09 |
| 1649803511 | Christopher Wissel | Nurse Anesthetist, Certified Registered | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2020-02-19 |
| 1194373373 | Anne Carole Preuss | Podiatrist | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2019-08-30 |
| 1265087746 | Kimberly Strickland | Hospitalist | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2019-08-02 |
| 1841844818 | Jennifer Dee Deacon | Nurse Practitioner | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2019-07-29 |
| 1356994180 | Morgan Christine Reilly | Internal Medicine | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2019-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720564016 | Kaela Marie Turley | Nurse Practitioner | 2355 Poplar Level Rd Ste 405, Louisville, KY 40217 | 2018-07-19 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1386185437 | Meredith Brooke Ervin | Counselor | 1169 Eastern Pkwy Ste 3310, Louisville, KY 40217 | 2017-03-08 |
| 1437507621 | Kendra Pickerill | Speech-Language Pathologist | 906 Delor Avenue, Louisville, KY 40217 | 2016-05-27 |
| 1275947186 | Gary Muncy | Massage Therapist | 607 East Brandeis Ave, Louisville, KY 40217 | 2014-06-18 |
| 1912318791 | Stacey Charlotte Elmes | Case Manager/Care Coordinator | 2338 Alexanderave, Louisville, KY 40217 | 2014-05-14 |
| 1275819831 | April Mecasha Cox | Pharmacist | 808 Eastern Parkway, Louisville, KY 40217 | 2011-10-27 |
| 1831346204 | Nikki Renee Wilson | Registered Nurse | 1169 Eastern Pkwy Ste 1226, Louisville, KY 40217 | 2008-08-27 |
| 1497925440 | Sarah Beth Murrow | Chiropractor | 1100 Milton St, Louisville, KY 40217 | 2008-03-06 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| Find all providers in zip 40217 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| 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. |
| 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 | ||||
| City | LOUISVILLE |
| Zip Code | 40217 |
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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.