Individual
DR. JOHN BYRNE RADEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6710
(502) 259-6704
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01046769
IN
207L00000X
Anesthesiology Physician
Primary
26478
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000064679
ANTHEM OF INDIANA
IN
01
—
000000064679
ANTHEM OF KENTUCKY
KY
01
—
050067688
RAILROAD MEDICARE
IN
01
—
1161027
PASSPORT
KY
01
—
129703800
BLACK LUNG PROGRAM
IN
01
—
134960B
UNICARE MEDICARE
IN
01
—
200024520
MANAGED HEALTH SERVICES
IN
05
—
200024520
—
IN
01
—
2439494000
PASSPORT ADVANTAGE
IN
05
—
64264781
—
KY
Enumeration date
09/07/2005
Last updated
12/08/2022
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