CHAD A WIESENAUER


Address: 234 E Gray St, Louisville, KY 40202-1900
Phone: 5025880390

CHAD A WIESENAUER (NPI# 1861616732) 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) 1861616732
Entity Type Individual
Full Name CHAD A WIESENAUER
Credential M.D.
Practice Address 234 E Gray St
Louisville
KY 40202-1900
Practice Telephone 5025880390
Practice Fax Number 5025845437
Mailing Telephone 5025880390
Mailing Fax Number 5025845437
Enumeration Date 2007-04-12
Last Update Date 2017-10-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0120X Surgery
Specialization: Pediatric Surgery
01053500A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN STATE LICENSE NUMBER 01053500A 01
KY 7100008600 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
234 E Gray St, Louisville, KY 402021900 5025837337 5025845437

Office Location

Street Address 234 E GRAY ST
City LOUISVILLE
State KY
Zip Code 40202-1900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922002377 Nancy S Pile Radiology 234 E Gray St, Suite 850, Louisville, KY 40202-1900 2005-06-13
1598383408 Carlee Michele Grubbs Genetic Counselor, MS 234 E Gray St, Louisville, KY 40202-1900 2020-07-07
1588105761 William Foster Rawls Student in an Organized Health Care Education/Training Program 234 E Gray St, Suite 660, Louisville, KY 40202-1900 2017-03-20
1659810570 Raji Rajan Nurse Practitioner 234 E Gray St, Suite 768, Louisville, KY 40202-1900 2017-02-13
1619337961 Kristy Doan Nguyen Student in an Organized Health Care Education/Training Program 234 E Gray St, Suite 662, Louisville, KY 40202-1900 2016-02-29
1386011054 University of Louisville Physicians Nurse Practitioner 234 E Gray St, Suite 662, Louisville, KY 40202-1900 2015-08-28
1316321888 Ulp Orthopedics Specialist 234 E Gray St, Suite 564, Louisville, KY 40202-1900 2015-07-15
1235551201 University of Louisville Research Foundation Inc. Podiatrist 234 E Gray St, Suite 564, Louisville, KY 40202-1900 2014-01-10
1710318167 University of Louisville Research Foundation Surgery 234 E Gray St, Suite 766, Louisville, KY 40202-1900 2013-12-11
1790116143 University of Louisville Research Foundation Pediatrics 234 E Gray St, Suite 270, Louisville, KY 40202-1900 2013-12-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972129682 Garvit Chhabra Student in an Organized Health Care Education/Training Program 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 2020-06-18
1396367009 Richele Williams Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 2020-05-15
1942822028 Ahmed Khaled Saleh Student in an Organized Health Care Education/Training Program 500 S Jackson St, Room 305, Louisville, KY 40202 2020-05-12
1457972952 Mir Ali Raza Talpur Student in an Organized Health Care Education/Training Program 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 2020-05-06
1316575533 Abigail Hatfield Student in an Organized Health Care Education/Training Program Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 2020-04-01
1851929210 Madison Harmon Student in an Organized Health Care Education/Training Program Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 2020-03-31
1184252041 Marianna Weaver Student in an Organized Health Care Education/Training Program 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 2020-03-27
1700347341 Charles Jake Sadle Student in an Organized Health Care Education/Training Program Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 2019-03-27
1437616794 Paladina Health, LLC Family Medicine Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 2019-02-22
1205393568 Paladina Health, LLC Family Medicine Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 2019-02-22
Find all providers in zip 40202

Taxonomy Information

Taxonomy Code 2086S0120X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Pediatric Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699114462 Diller Baer Groff Surgery 5405 Indian Woods Dr, Louisville, KY 40207-2066 2013-06-14
1033208525 University Pediatric Surgery Associates, Psc Surgery 234 E Gray St Ste 766, Louisville, KY 40202-1901 2006-10-12
1710318167 University of Louisville Research Foundation Surgery 234 E Gray St, Suite 766, Louisville, KY 40202-1900 2013-12-11
1740546464 University of Louisville Physicians, Inc. Surgery 234 E Gray St, Suite 766, Louisville, KY 40202-1900 2012-04-06
1699094342 Andrea Doud Surgery 231 E Chestnut St, Louisville, KY 40202-1821 2010-05-20
1326262270 Cynthia D Downard Surgery 234 E Gray St, Ste 766, Louisville, KY 40202-1901 2007-04-12
1679662258 Indira S Thirkannad Surgery 234 E Gray St Ste 766, Louisville, KY 40202-1901 2006-10-12
1336146158 David S Foley Surgery 234 E Gray St, Ste 766, Louisville, KY 40202-1901 2005-07-07
1124025127 Mary E Fallat Surgery 234 E Gray St, Ste 766, Louisville, KY 40202-1901 2005-07-05
1699772699 Sheldon J. Bond Surgery 234 E Gray St, Ste 766, Louisville, KY 40202-1901 2005-07-05
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40202

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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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