Prospero Ishkanian MD PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROSPERO ISHKANIAN MD PSC

Practice address

1313 Saint Anthony PL
Louisville, KY 40204-1740

Phone

(502) 560-1326

Fax

(502) 560-1327

NPI assigned

Apr 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Prospero Ishkanian, MD

Title

Doctor

Phone

(502) 560-1326

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Anne Burrow Haag, APRN

  • Family Nurse Practitioner
  • Jeffersonville, IN
  • NPI 1497205926
  NPD
• Vitalkumar N Shah, M.D.

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1841241239
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1851510846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 WESBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226453",
            "telephone_number": "502-560-1326",
            "fax_number": "502-560-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 SAINT ANTHONY PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041740",
            "telephone_number": "502-560-1326",
            "fax_number": "502-560-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERO ISHKANIAN MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "ISHKANIAN",
        "authorized_official_first_name": "PROSPERO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "502-560-1326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prorehab of Louisville, LLC
• Prorehab of Louisville, LLC
• Prorehab of Louisville, LLC
• Proscan Imaging of Louisville LLC (ProScan Imaging St Matthews)
• Prospering Counseling & Consulting LLC
• Courtney Richelle Protzer, M.D.
• Lauren Protzer, M.D.
• Nathan M Proulx
• Courtney Provencal, PTA
• Donna Lynn Provenzola, LCSW

• Family Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.