Khairunissa Batool Mohiuddin (NPI# 1932661170, PAC ID# 7113254624) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932661170 |
| PAC ID by PECOS | 7113254624 |
| Professional Enrollment ID | I20190806003952 |
| Full Name | Khairunissa Batool Mohiuddin |
| Organization Legal Name | KOMG-LOUISVILLE REGION INC |
| Address |
4423 Bardstown Rd Louisville KY 40218-3235 |
| Phone Number | 5024952400 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5799021259 |
| Number of Group Practice Members | 293 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4423 Bardstown Rd, Louisville, KY 40218-3235 | 5024952400 | KOMG-LOUISVILLE REGION INC |
| Organization Legal Name | KOMG-LOUISVILLE REGION INC |
| Physicians | 228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Troutman | Nurse Practitioner | Komg-louisville Region Inc | 908 Dupont Rd, Louisville, KY 40207-4602 |
| Jamie L Greenert | Nurse Practitioner | Komg-louisville Region Inc | 4423 Bardstown Rd, Louisville, KY 40218-3235 |
| Crystal N Weathers | Nurse Practitioner | Komg-louisville Region Inc | 8111 Bardstown Rd, Louisville, KY 40291-3441 |
| Lindsey Winfield | Nurse Practitioner | Komg-louisville Region Inc | 1607 Dixie Hwy, Louisville, KY 40210-1745 |
| Melissa R Lamaster | Nurse Practitioner | Komg-louisville Region Inc | 9569 Taylorsville Rd, Suite 109, Louisville, KY 40299-2751 |
| Ivan A Calderon | Family Medicine | Komg-louisville Region Inc | 5100 Outer Loop, Louisville, KY 40219-3023 |
| Sara A Miller | Nurse Practitioner | Komg-louisville Region Inc | 1900 Bluegrass Ave, Suite 300, Louisville, KY 40215-1183 |
| Christopher D Combs | Internal Medicine | Komg-louisville Region Inc | 175 S English Station Rd, Suite 226, Louisville, KY 40245-4199 |
| Christopher John Theuer | General Surgery | Komg-louisville Region Inc | 60 Stonecrest Ct, Suite 140, Shelbyville, KY 40065-8156 |
| John N Olsofka | General Surgery | Komg-louisville Region Inc | 4402 Churchman Ave, Louisville, KY 40215-1190 |
| Street Address |
4423 BARDSTOWN RD |
| City | LOUISVILLE |
| State | KY |
| Zip | 40218-3235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie L Greenert | Nurse Practitioner | Komg-louisville Region Inc | 4423 Bardstown Rd, Louisville, KY 40218-3235 |
| Dustin M Gosser | Nurse Practitioner | Komg-louisville Region Inc | 4423 Bardstown Rd, Louisville, KY 40218-3235 |
| Meaghan L Gift | Nurse Practitioner | Komg-louisville Region Inc | 4423 Bardstown Rd, Louisville, KY 40218-3235 |
| Taylor C Thomas | Nurse Practitioner | Komg-louisville Region Inc | 4423 Bardstown Rd, Louisville, KY 40218-3235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Gendeman | Occupational Therapy | 3309 Wellingmoor Ave, Louisville, KY 40218-1028 | |
| Lili S Lutgens | Clinical Social Worker | 2210 Goldsmith Ln, Suite 100, Louisville, KY 40218-1038 | |
| Barbara A Dekay | Clinical Social Worker | 2210 Goldsmith Ln, Louisville, KY 40218-1038 | |
| Christy L Osting | Clinical Social Worker | 2210 Goldsmith Ln, Suite 230, Louisville, KY 40218-1070 | |
| Maria T Mccauley | Nurse Practitioner | Baptist Health Medical Group Inc | 3828 Bardstown Rd, Louisville, KY 40218-1527 |
| Kelly Stilz George | Nurse Practitioner | Baptist Health Medical Group Inc | 3828 Bardstown Rd, Louisville, KY 40218-1527 |
| Robert L Sasser | Internal Medicine | Baptist Health Medical Group Inc | 3828 Bardstown Rd, Louisville, KY 40218-1527 |
| Gary W Davis | Family Medicine | Baptist Health Medical Group Inc | 3828 Bardstown Rd, Louisville, KY 40218-1527 |
| Benjamin Michael Schaffer | Podiatry | Commonwealth Foot and Ankle Center | 1915 Bishop Lane, Louisville, KY 40218-1901 |
| Benjamin R Mccullar | Podiatry | Commonwealth Foot and Ankle Center | 1915 Bishop Lane, Louisville, KY 40218-1901 |
| Find all physicians in zip 40218 | |||
| City | LOUISVILLE |
| Zip Code | 40218 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOUISVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Khairunissa Batool Mohiuddin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.