M.D. Rudolph F Licandro, NPI 1497753784
Interventional Cardiology Physician in Louisville, KY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1497753784 |
| NPI Entity Type | Individual |
| Provider Name | M.D. Rudolph F Licandro |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 3900 Kresge Way, Ste 60, Louisville, KY, US |
| Provider Mailing Address | Po Box 950248, Louisville, KY, US, 402950248 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Interventional Cardiology Physician |
| Classification | |
| Group | |
| License No. | 23908 |
| License State | KY |
| Description | An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 23908 | KY | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| AL3044512 | DEA | 01 | |
| 64239080 | KY | MEDICAID | 05 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | No | 3900 Kresge Way, Ste 60, Louisville, KY, US |
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| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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Lake Cumberland Regional Hospital, Llc Organization |
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Lake Cumberland Regional Hospital Llc Organization |
353 Bogle St Suite A |
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Sierra Rader Individual |
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APRN Chelsey Sievert Individual |
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APRN Mary Mitchell Individual |
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7139 State Route 56 E |
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M.D. Michael Crum Individual |
911 Bypass Rd Bldg A |
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Sarah L Young Individual |
601 Lincoln Park Rd |
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D.O. William B Webb Individual |
911 Bypass Rd Bldg A |
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PA-C Brittney R. Judhan Individual |
911 Bypass Rd Bldg A |
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MD Brett E Jarrell Individual |
911 Bypass Rd Bldg A |
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APRN Danny Brent Newsome Individual |
911 Bypass Rd Bldg A |
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|
DO John M Fleming Individual |
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