KEVIN B SPICER (NPI# 1902854334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902854334 |
| Entity Type | Individual |
| Full Name | KEVIN B SPICER |
| Credential | M.D. |
| Practice Address |
834 E Broadway Louisville KY 40204 |
| Mailing Address |
Po Box 950244 Louisville KY 40295-0244 |
| Practice Telephone | 5025831981 |
| Practice Fax Number | 5029968309 |
| Mailing Telephone | 8122188926 |
| Mailing Fax Number | 8122188930 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 37184 | KY | Allopathic & Osteopathic Physicians |
| N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
35079350 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2215 Portland Ave, Louisville, KY 402121033 | 5027748631 | 5029968309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376007849 | Kevin M Spicer | Prosthetist | 1830 Ridge Rd Nw, Bolivar, OH 44612-8512 | 2019-01-29 |
| 1477998516 | Kevin Lamar Spicer Sr. | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2013-05-02 |
| 1689727463 | Kevin H. Spicer | Psychiatry & Neurology | 152 Cannon St, Suite B, Charleston, SC 29403-7700 | 2007-01-18 |
| Street Address |
834 E BROADWAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043779895 | Mary Alane Sallee | Nurse Practitioner | 834 E Broadway, Louisville, KY 40204-1072 | 2019-03-19 |
| 1427402882 | Kenneth Parsons | Pharmacist | 834 E Broadway, Louisville, KY 40204-1072 | 2016-04-21 |
| 1487063137 | Ngoc Uyen V Nguyen | Social Worker | 834 E Broadway, Louisville, KY 40204-1072 | 2014-08-07 |
| 1285043935 | Family Health Centers, Inc. | Pharmacy | 834 E Broadway, Louisville, KY 40204-1072 | 2014-08-07 |
| 1104255629 | Anna V Gass | Nurse Practitioner | 834 E Broadway, Louisville, KY 40204-1072 | 2013-11-05 |
| 1457630824 | Erin R. Riedel | Social Worker | 834 E Broadway, Louisville, KY 40204-1072 | 2011-08-16 |
| 1457523532 | Aisha Ali | Pediatrics | 834 E Broadway, Louisville, KY 40204-1072 | 2008-03-28 |
| 1427086370 | Susan Michelle Taylor Peters | Obstetrics & Gynecology | 834 E Broadway, Louisville, KY 40204-1072 | 2006-06-29 |
| 1396791208 | Louisville Jefferson County Metro Government | Ambulance | 834 E Broadway, Louisville, KY 40204-1072 | 2006-05-25 |
| 1134172489 | Family Health Centers, Inc. | Clinic/Center | 834 E Broadway, Louisville, KY 40204-1072 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
| 1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
| 1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
| 1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
| 1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
| 1710072137 | Sandra L. Payne | Dentist | John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 | 2006-10-03 |
| 1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
| 1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
| 1700867512 | Gabor Steven Vargo | Dentist | 1250 Bardstown Road, Suite 11, Louisville, KY 40204 | 2005-11-09 |
| Find all providers in zip 40204 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306316989 | Jacquee L Mcnear | Pediatrics | 801 Barret Avenue Suite 314, Louisville, KY 40204-1701 | 2018-11-27 |
| 1902292857 | Hayley Redmond | Pediatrics | 571 S Floyd St Ste 332, Louisville, KY 40202 | 2015-04-07 |
| 1770978512 | Michael Bricken | Pediatrics | 760 S Hancock St # B100, Louisville, KY 40203 | 2015-03-30 |
| 1114332236 | Amanda Brian Rogers | Pediatrics | 411 E Chestnut St # Street6, Louisville, KY 40202-1713 | 2014-06-26 |
| 1770900144 | Kathryn Thorne | Pediatrics | 9710 Park Plaza Ave Unit 107, Louisville, KY 40241-2292 | 2014-03-24 |
| 1669717690 | Surjeet Singh Dhanjal | Pediatrics | 1506 Thackeray Dr, Louisville, KY 40205-2410 | 2012-12-03 |
| 1164656443 | Betty Sue Spivack | Pediatrics | 8804 Nottingham Pkwy, Louisville, KY 40222-5217 | 2009-05-14 |
| 1821238528 | James Grant Mumford | Pediatrics | 5100 Commerce Crossings Dr, Louisville, KY 40229-2128 | 2009-02-20 |
| 1033371216 | Jonathan R Malowitz | Pediatrics | 4123 Dutchmans Lane Suite 301, Suburban Medical Plaza 3, Louisville, KY 40207 | 2008-06-27 |
| 1356509954 | Julia Lane Mitchell | Pediatrics | 760 S. Hancock St, B100, Louisville, KY 40203 | 2008-05-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40204 |
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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.