DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JOHN RUSSELL GLEASON JR. MD

MEDICARE: DR. JOHN RUSSELL GLEASON JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician25233KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11050705OTHERKYPASSPORT
2000000062784OTHERKYANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215931159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN RUSSELL GLEASON JR. MD
Provider Business Mailing Address
First Line : 6400 DUTCHMANS PKWY
Second Line : STE 250
City : LOUISVILLE
State : KY
Zip : 40205-3340
Country : US
Telephone Number : 502-587-9660
Fax Number : 502-540-5615
Provider Business Practice Location Address
First Line : 6400 DUTCHMANS PKWY
Second Line : STE 250
City : LOUISVILLE
State : KY
Zip : 40205-3340
Country : US
Telephone Number : 502-587-9660
Fax Number : 502-540-5615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 08/29/2007

Similar Medicare Providers

1770586711 — ROBERT A TODD M.D.
Practice Location Address:
6400 DUTCHMANS PKWY , STE 331
LOUISVILLE, KY
40205-3340
Practice Phone: 502-896-0055
Practice Fax: 502-896-0836
1083616163 — DR. DAVID HILL GOLDSTEIN MD
Practice Location Address:
6400 DUTCHMANS PKWY , STE 250
LOUISVILLE, KY
40205-3340
Practice Phone: 502-587-9660
Practice Fax: 502-540-5615
1376545327 — DR. RICHARD SCOTT CORNELL MD
Practice Location Address:
6400 DUTCHMANS PKWY , STE 250
LOUISVILLE, KY
40205-3340
Practice Phone: 502-587-9660
Practice Fax: 502-540-5615
1710989884 — DR. DANNY WOO MD
Practice Location Address:
6400 DUTCHMANS PKWY , STE 250
LOUISVILLE, KY
40205-3340
Practice Phone: 502-587-9660
Practice Fax: 502-540-5615
1972505030 — DR. ALEXANDER YURIEVICH AFANASYEV MD
Practice Location Address:
6400 DUTCHMANS PKWY , STE 250
LOUISVILLE, KY
40205-3340
Practice Phone: 502-587-9660
Practice Fax: 502-450-5615
1245234111 — DR. ROBERT ELMER LEE MD
Practice Location Address:
6400 DUTCHMANS PKWY , STE 250
LOUISVILLE, KY
40205-3340
Practice Phone: 502-587-9660
Practice Fax: 502-540-5615

Directions to “ DR. JOHN RUSSELL GLEASON JR. MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.