| Kentuckiana Foot And Ankle Sports Medicine | |
|
6400 Dutchmans Pkwy Ste 215, Louisville, KY 40205-3343 | |
| (502) 721-8288 | |
| (502) 721-8792 |
| Full Name | Kentuckiana Foot And Ankle Sports Medicine |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 6400 Dutchmans Pkwy Ste 215, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689070559 | NPI | - | NPPES |
| 7100333220 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Keith Wellington Myrick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063402972 PECOS PAC ID: 6709834120 Enrollment ID: I20050112000077 |
| Provider Name | Scott T Rotterman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851731194 PECOS PAC ID: 9739478462 Enrollment ID: I20160526001640 |
| Provider Name | Tyler Tewilliager |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295230118 PECOS PAC ID: 3678820321 Enrollment ID: I20230314001719 |
| Mailing Address | Practice Location Address |
|---|---|
| Kentuckiana Foot And Ankle Sports Medicine 6400 Dutchmans Pkwy, # 215, Louisville, KY 40205-3340 Ph: (502) 721-8288 | Kentuckiana Foot And Ankle Sports Medicine 6400 Dutchmans Pkwy Ste 215, Louisville, KY 40205-3343 Ph: (502) 721-8288 |
Dr. Thomas Wayne Childress Jr., D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3 Audubon Plaza Dr, Suite 320, Louisville, KY 40217 Phone: 502-893-1844 | |
Mrs. Melissa Ann Dorsett, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3430 Newburg Rd, Ste 153, Louisville, KY 40218 Phone: 502-459-8127 Fax: 502-459-8620 | |
Andrew R Bouwkamp, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3901 Dutchmans Ln Ste 104, Louisville, KY 40207 Phone: 502-496-4914 Fax: 502-459-7509 | |
Podiatric Physicians Of Kentucky, Psc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9110 Leesgate Road, Louisville, KY 40222 Phone: 502-426-7222 Fax: 502-425-8226 | |
Makenzie Lynn Kerns, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7397 Jefferson Blvd, Louisville, KY 40219 Phone: 502-968-2233 Fax: 502-968-2283 | |
Dr. Joshua Coger, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6641 Dixie Hwy, Louisville, KY 40258 Phone: 502-364-0902 | |
Dr. Rhonda A Eichenberger, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9900 Shelbyville Rd Ste 11a, Louisville, KY 40223 Phone: 502-899-9771 Fax: 502-899-9772 |