DR. JARED CICERO (NPI# 1942722152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942722152 |
| Entity Type | Individual |
| Full Name | DR. JARED CICERO |
| Credential | DPM |
| Practice Address |
1 Audubon Plaza Dr Louisville KY 40217-1318 |
| Practice Telephone | 5026368171 |
| Mailing Telephone | 5026368171 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2020-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
481 | KY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KENTUCKY STATE LICENSE | 481 | 01 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821651852 | Sports Medicine Surgical Specialists Pllc | Podiatrist | 309 Guthrie St, Louisville, KY 40202-1813 | 2019-04-16 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1811423460 | Jillian Allison Teslow Rickertsen | Podiatrist | 734 W Main St Ste 100, Louisville, KY 40202-3687 | 2017-05-02 |
| 1992239214 | Nathaniel Winters | Podiatrist | 6801 Dixie Hwy Ste 134, Louisville, KY 40258-3952 | 2017-04-13 |
| 1992188437 | Brett P Vessell | Podiatrist | 4119 Browns Ln Ste 2, Louisville, KY 40220-1500 | 2015-07-01 |
| 1629286257 | Adam Alexander Didyk | Podiatrist | 13105 Eastpoint Park Blvd, Louisville, KY 40223 | 2007-05-18 |
| 1699803270 | Gerardo Ulfe | Podiatrist | 317b Guthrie Grn, Louisville, KY 40202 | 2007-03-02 |
| 1164512612 | Brian T Przystawski, Dpm, PCs | Podiatrist | 4119 Browns Lane, Bld#2, Louisville, KY 40220 | 2006-10-13 |
| 1821023250 | Judy Nonglak Outsa | Podiatrist | 6407 Preston Hwy, Suite #1, Louisville, KY 40219-1850 | 2006-07-12 |
| 1053353607 | Rhonda A Eichenberger | Podiatrist | 9900 Shelbyville Rd Ste 11a, Louisville, KY 40223-2965 | 2006-06-11 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40217 |
Please comment or provide details below to improve the information on DR. JARED CICERO.
| 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.