DR. KERRY LYNN SHORT (NPI# 1902879901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902879901 |
Entity Type | Individual |
Full Name | DR. KERRY LYNN SHORT |
Credential | M.D. |
Practice Address |
4001 Kresge Way Louisville KY 40207-4640 |
Mailing Address |
4001 Kresge Way 315 Louisville KY 40207-4640 |
Practice Telephone | 5028977416 |
Practice Fax Number | 5028956638 |
Mailing Telephone | 5028977416 |
Mailing Fax Number | 5028956638 |
Enumeration Date | 2006-02-09 |
Last Update Date | 2007-12-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
20965 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64209653 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720394372 | Kerry Short | Nurse Practitioner | 9200 W Wisconsin Ave, Trauma Surgery, Milwaukee, WI 53226-3522 | 2010-08-20 |
Street Address |
4001 KRESGE WAY |
City | LOUISVILLE |
State | KY |
Zip Code | 40207-4640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710980842 | Stacie Grossfeld | Specialist | 4001 Kresge Way, Ste 330, Louisville, KY 40207-4640 | 2005-05-23 |
1982144358 | Orthopaedic Specialists Pllc | Non-Pharmacy Dispensing Site | 4001 Kresge Way, Suite 330, Louisville, KY 40207-4640 | 2017-03-03 |
1205283017 | Olivia Price | Physician Assistant | 4001 Kresge Way, Ste 210, Louisville, KY 40207-4640 | 2016-05-22 |
1396117131 | Graf Family Dentistry, Psc | Dentist | 4001 Kresge Way, Suite 120, Louisville, KY 40207-4640 | 2015-10-20 |
1952743940 | Andrew D. Morris | Physician Assistant | 4001 Kresge Way, Suite 200, Louisville, KY 40207-4640 | 2013-07-19 |
1588922652 | Steve P Kuric Md Pllc | Neurological Surgery | 4001 Kresge Way, Suite 238, Louisville, KY 40207-4640 | 2012-04-26 |
1053678359 | Janet L Honchell | Obstetrics & Gynecology | 4001 Kresge Way, Suite 324, Louisville, KY 40207-4640 | 2012-04-12 |
1356620322 | Baptist Medical Associates | Surgery | 4001 Kresge Way, Suite 210, Louisville, KY 40207-4640 | 2011-08-09 |
1104123041 | Andrew D Bailey Md | Clinical Nurse Specialist | 4001 Kresge Way, Suite 130, Louisville, KY 40207-4640 | 2011-02-11 |
1558534859 | Alberto Sebastian Gallo | Surgery | 4001 Kresge Way, Suite 200, Louisville, KY 40207-4640 | 2008-04-08 |
Find all providers in the same location |
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 |
Find all providers in zip 40207 |
Taxonomy Code | 2088P0231X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
Specialization | Pediatric Urology |
Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508297953 | University of Louisville Research Foundation | Urology | 234 E Gray St, Suite 662, Louisville, KY 40202-1900 | 2013-12-11 |
1831434455 | Eran Rosenberg | Urology | 4123 Dutchmans Ln, Suite 102, Louisville, KY 40207 | 2012-12-07 |
1245525773 | Ahmad Zakaria Mohamed | Urology | 411 E Chestnut St, Louisville, KY 40202-1713 | 2011-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386939858 | Amanda Feige Saltzman | Urology | 800 Rose St Rm Ms 237, Lexington, KY 40536-0298 | 2011-06-13 |
1023219425 | Jackson Physician Corp | Urology | 1550 Highway 15 S Ste 27, Jackson, KY 41339-8604 | 2007-05-31 |
City | LOUISVILLE |
Zip Code | 40207 |
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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.