Individual
JONATHAN GEORGE YERASIMIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9880 ANGIES WAY, SUITE 250, LOUISVILLE, KY 40241-2851
(502) 394-6341
(502) 394-6340
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
40103
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200489030
—
IN
05
—
64124043
—
KY
Enumeration date
06/29/2006
Last updated
10/11/2020
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