AMIRREZA MOTAMENI (NPI# 1992091128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992091128 |
| Entity Type | Individual |
| Full Name | AMIRREZA MOTAMENI |
| Credential | M.D. |
| Practice Address |
401 E Chestnut St Unit 710 Louisville KY 40202 |
| Mailing Address |
Po Box 909 Louisville KY 40201-0909 |
| Practice Telephone | 5025838303 |
| Practice Fax Number | 5025889506 |
| Mailing Telephone | 5025838303 |
| Mailing Fax Number | 5025889506 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 49337 | KY | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
49337 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
401 E CHESTNUT ST UNIT 710 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164570867 | Sandra L. Kavalukas | Colon & Rectal Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2007-01-08 |
| 1215586029 | Joanne Missi | Nurse Practitioner | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2019-09-05 |
| 1215412341 | Mary Margaret Ann Yates | Nurse Practitioner | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2018-09-25 |
| 1336699610 | Justin Thomas White | Speech-Language Pathologist | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2016-10-10 |
| 1891131132 | Frank Wood | Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2013-05-14 |
| 1366785172 | Samuel Carson | Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202 | 2013-03-29 |
| 1598030702 | Dylan Thomas Adamson | Transplant Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2012-03-21 |
| 1356613699 | University of Louisville Physicians, Inc. | Podiatrist | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2012-02-02 |
| 1629340971 | University of Louisville Phyisicians, Inc. | Hearing Instrument Specialist | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2012-02-02 |
| 1700156353 | University of Louisville Physicians | Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2012-01-12 |
| Find all providers in the same location | ||||
| 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 Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558533687 | Matthew Cameron Bozeman | Surgery | 401 E Chestnut St, Ste 710, Louisville, KY 40202 | 2008-03-28 |
| 1619947496 | J David Richardson | Surgery | 401 E Chestnut St, Suite 710, Louisville, KY 40202-5700 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952578593 | Steven Snodgrass | Surgery | 996 Wilkinson Trace, Suite B 3, Bowling Green, KY 42103 | 2008-05-13 |
| 1295827921 | Joseph B Zwischenberger | Surgery | 800 Rose Street, Mn264, University of Kentucky, Department of Surgery, Lexington, KY 40536-0298 | 2006-09-29 |
| 1053739284 | Tyler Koestner | Surgery | 800 Rose St, Lexington, KY 40536-2104 | 2014-04-04 |
| 1205270196 | William Frederick Weber Iv | Surgery | 800 Rose St, Lexington, KY 40536-0001 | 2013-04-22 |
| 1629336938 | Mohannad Talal Hemdi | Surgery | University of Kentucky, 800 Rose Street, Lexington, KY 40536-0293 | 2012-04-25 |
| 1083750681 | Aaron Lee Brown | Surgery | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2007-01-30 |
| 1407890015 | Ronald J Kembro | Surgery | 650 Joel Dr, Attn: General Surgery, Fort Campbell, KY 42223-5318 | 2006-06-15 |
| 1508815796 | Bernard Roger Boulanger | Surgery | 740 South Limestone, Lexington, KY 40536-0001 | 2006-05-08 |
| 1851340756 | Paul A Kearney | Surgery | 740 South Limestone, Lexington, KY 40536-0001 | 2006-05-08 |
| 1841255924 | Timothy Mullett | Surgery | 740 South Limestone, Lexington, KY 40536-0001 | 2006-04-20 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.