ORTHOPEDIC & SPORTS SPECIALISTS OF LOUISVILLE, PSC (NPI# 1699954008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699954008 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC & SPORTS SPECIALISTS OF LOUISVILLE, PSC |
| Practice Address |
9370 Cedar Center Way Louisville KY 40291 |
| Practice Telephone | 5027629528 |
| Mailing Telephone | 5027629528 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |
| Authorized Official Name | ANDREW L. DEGRUCCIO (OWNER/PROVIDER) |
| Authorized Official Telephone | 5027629528 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 29694 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
9370 CEDAR CENTER WAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740213610 | Andrew L Degruccio | Orthopaedic Surgery | 9370 Cedar Center Way, Louisville, KY 40291 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881117166 | The Degondaba School, Inc. | Day Training, Developmentally Disabled Services | 5110 Stony Brook Drive, Louisville, KY 40291 | 2017-07-19 |
| 1497108278 | Andrea Herndon | Physician Assistant | 10710 Marceitta Ct, Louisville, KY 40291 | 2016-07-18 |
| 1033536602 | Jennifer Rose Fowler | Social Worker | 10300 Brookridge Villeage Blvd., Suite 104, Louisville, KY 40291 | 2014-03-21 |
| 1740602069 | Brittney Tatum | Licensed Practical Nurse | 9500 Glen Trace Ln, Louisville, KY 40291 | 2014-01-07 |
| 1326392895 | Lisa J Fetter | Nurse Practitioner | 6413 Bardstown Rd, Louisville, KY 40291 | 2012-11-05 |
| 1275829137 | Carolyn Estep Book | Counselor | 9612 Farmstead Lane, Louisville, KY 40291 | 2011-06-20 |
| 1023309028 | Julie Klein Hawkins | Pharmacist | 8014 Bardstown Rd., Louisville, KY 40291 | 2011-04-25 |
| 1295872653 | Loving Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9508 Fairmount Rd, Louisville, KY 40291 | 2007-02-01 |
| 1962548198 | Morgan Howard | Chiropractor | 5501 Bardstown Rd, Louisville, KY 40291 | 2007-01-29 |
| 1407992258 | Deanna H Smith | Social Worker | 9409 Cedar Look Drive, Louisville, KY 40291 | 2007-01-29 |
| Find all providers in zip 40291 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790322170 | Louisville Spine Institute LLC | Orthopaedic Surgery | 6500 Glenridge Park Pl Ste 9, Louisville, KY 40222-3450 | 2019-12-05 |
| 1679077531 | Travis Parkulo | Orthopaedic Surgery | 550 South Jackson Street 1st Floor Acb, Louisville, KY 40292-1219 | 2018-03-23 |
| 1730425208 | Norwood Kaye Ford Jr. | Orthopaedic Surgery | 7804 Creekbottom Rd, Louisville, KY 40241-5507 | 2013-01-02 |
| 1700148483 | Kenneth Saad Chakour | Orthopaedic Surgery | 550 South Jackson Street, 1st Floor, Ambulatory Care Building, Louisville, KY 40292 | 2012-06-08 |
| 1962769257 | Victor Fehrenbacher | Orthopaedic Surgery | 9880 Angies Way Ste 230, Louisville, KY 40241 | 2012-04-12 |
| 1376860239 | Gb Family Corp | Orthopaedic Surgery | 400 W Market St Ste 1800, Louisville, KY 40202-3362 | 2010-04-30 |
| 1740506534 | Lonnie Rhea Douglas | Orthopaedic Surgery | 1277 Springdale Dr, Louisville, KY 40213-1736 | 2010-04-19 |
| 1376797985 | Peter T. Kirsch | Orthopaedic Surgery | 8003 Vine Crest Ave, Unit 12, Louisville, KY 40222-4695 | 2008-11-10 |
| 1316196975 | Nyagon G. Duany | Orthopaedic Surgery | 210 E Gray St Ste 604, Louisville, KY 40202-3902 | 2008-09-18 |
| 1215123138 | Jeffrey Nagy Fadel | Orthopaedic Surgery | 2932 Breckenridge Ln Ste 1, Louisville, KY 40220-1409 | 2007-09-25 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40291 |
Please comment or provide details below to improve the information on ORTHOPEDIC & SPORTS SPECIALISTS OF LOUISVILLE, 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.