CHARLES A KINCAID PSC (NPI# 1467610402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467610402 |
| Entity Type | Organization |
| Organization Name | CHARLES A KINCAID PSC |
| Practice Address |
4001 Dutchmans Ln Ste 6b Suburban Medical Plaza I Louisville KY 40207-4738 |
| Practice Telephone | 5028971891 |
| Practice Fax Number | 5028971893 |
| Mailing Telephone | 5028971891 |
| Mailing Fax Number | 5028971893 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2009-01-29 |
| Authorized Official Name | MRS. CHERI KINCAID (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 5028971891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
14164 | KY | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
14164 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
4001 DUTCHMANS LN STE 6B SUBURBAN MEDICAL PLAZA I |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255837696 | Edgar A. Lopez-suescum | Surgery | 726 Zorn Ave Apt 1, Louisville, KY 40206-1447 | 2018-04-04 |
| 1346402948 | Scott Joseph Rapp | Surgery | 222 S 1st St Ste 100, Louisville, KY 40202-1350 | 2008-06-26 |
| 1053339473 | Brian P Thornton | Surgery | 315 E Broadway Ste 300, Louisville, KY 40202-3700 | 2006-07-17 |
| 1235188863 | Ramsey Kevin Majzoub | Surgery | 6440 Dutchmans Pkwy, Suite 210, Louisville, KY 40205-3338 | 2006-05-10 |
| 1053313221 | Vera C Van Aalst-barker | Surgery | 901 Dupont Rd, Ste 202, Louisville, KY 40207-4644 | 2005-06-01 |
| 1093717274 | Joseph C. Banis Jr. | Surgery | 2507 Bush Ridge Dr Ste B, Louisville, KY 40245-5885 | 2005-06-01 |
| 1982257077 | Saud A Alkabbaa | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2019-07-18 |
| 1194130948 | Katherine Mckenna Kottwitz | Surgery | 2341 Lime Kiln Ln, Louisville, KY 40222-3460 | 2014-06-30 |
| 1730501784 | University of Louisville Research Foundation | Surgery | 550 S Jackson St, Louisville, KY 40202-1622 | 2014-01-10 |
| 1245597293 | University of Louisville Physicians, Inc. | Surgery | 550 S Jackson St, 2nd Floor, Louisville, KY 40202-1622 | 2012-04-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on CHARLES A KINCAID 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.