UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, PSC (NPI# 1033208525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033208525 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, PSC |
| Practice Address |
234 E Gray St Ste 766 Louisville KY 40202-1901 |
| Practice Telephone | 5025837337 |
| Practice Fax Number | 5025845437 |
| Mailing Telephone | 5025837337 |
| Mailing Fax Number | 5025845437 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATTI SACRA (ADMINISTRATOR) |
| Authorized Official Telephone | 5025837337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
234 E GRAY ST STE 766 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679662258 | Indira S Thirkannad | Surgery | 234 E Gray St Ste 766, Louisville, KY 40202-1901 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699114462 | Diller Baer Groff | Surgery | 5405 Indian Woods Dr, Louisville, KY 40207-2066 | 2013-06-14 |
| 1710318167 | University of Louisville Research Foundation | Surgery | 234 E Gray St, Suite 766, Louisville, KY 40202-1900 | 2013-12-11 |
| 1740546464 | University of Louisville Physicians, Inc. | Surgery | 234 E Gray St, Suite 766, Louisville, KY 40202-1900 | 2012-04-06 |
| 1699094342 | Andrea Doud | Surgery | 231 E Chestnut St, Louisville, KY 40202-1821 | 2010-05-20 |
| 1861616732 | Chad A Wiesenauer | Surgery | 234 E Gray St, Louisville, KY 40202-1900 | 2007-04-12 |
| 1326262270 | Cynthia D Downard | Surgery | 234 E Gray St, Ste 766, Louisville, KY 40202-1901 | 2007-04-12 |
| 1679662258 | Indira S Thirkannad | Surgery | 234 E Gray St Ste 766, Louisville, KY 40202-1901 | 2006-10-12 |
| 1336146158 | David S Foley | Surgery | 234 E Gray St, Ste 766, Louisville, KY 40202-1901 | 2005-07-07 |
| 1124025127 | Mary E Fallat | Surgery | 234 E Gray St, Ste 766, Louisville, KY 40202-1901 | 2005-07-05 |
| 1699772699 | Sheldon J. Bond | Surgery | 234 E Gray St, Ste 766, Louisville, KY 40202-1901 | 2005-07-05 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, PSC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.