John R Dimar II
Orthopaedic Spine Surgeon
210 E Gray St Suite 900
Louisville
, Kentucky 40202-3900
John R Dimar II
Orthopaedic Spine Surgeon
210 E Gray St Suite 900
Louisville
, Kentucky 40202-3900
(502) 272-5116
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- John R Dimar II
- Po Box 776351
- Chicago, IL
- Zip : 60677-6351
- Fax : (502) 272-5116
- Phone : (502) 588-9490
Second Address
- John R Dimar II
- 210 E Gray St Suite 900
- Louisville, KY
- Zip : 40202-3900
- Fax : (502) 589-0849
- Phone : (502) 584-7525
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 24311 | KY |
National Provider Identifier
| NPI | 1235192451 |
|---|---|
| Provider Name | John R Dimar II |
| First Address | Chicago, IL 60677-6351 |
| Second Address | Louisville, KY 40202-3900 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2006 |
| Last Update Date | 12/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000049348 | ANTHEM (UNIVERSITY ORTHOP (01) | KY |
| 000000049465 | ANTHEM (SPINE INSTITUTE) (01) | KY |
| 000051983L | HUMANA- NORTON LEATHERMAN SPINE CENTER (01) | KY |
| 100373930 | (05) | IN |
| 1049631 | PASSPORT (UNIVERSITY ORTH (01) | KY |
| 1054521 | PASSPORT (SPINE INSTITUTE (01) | KY |
| 163722400 | US DEPT OF LABOR (01) | KY |
| 200007231 | RAILROAD MEDICARE (SPINE (01) | KY |
| 200031865 | RAILROAD MEDICARE (UNIVER (01) | KY |
| 2432608000 | PASSPORT ADVANTAGE (UNIVE (01) | KY |
| 2433675000 | PASSPORT ADVANTAGE (SPINE (01) | KY |
| 3728038000 | PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER (01) | KY |
| 50024962 | PASSPORT- NORTON LEATHERMAN SPINE CENTER (01) | KY |
| 64243116 | (05) | KY |
| E74209 | (02) | KY |
| N291921 | HARMONY (01) | IN |
| P00757242 | RAILROAD MEDICARE- NORTON LEATHERMAN SPINE CENTER (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.