Organization Active NPI

Hand and Wrist of Louisville, PLLC

  • Surgery of the Hand (Plastic Surgery) Physician
  • Louisville, KY
National Provider Identifier
1003214396
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
47277 Issued in KY
Legal business name
HAND AND WRIST OF LOUISVILLE, PLLC
Practice address
2400 Eastpoint Pkwy
Ste 570
Louisville, KY 40223-4154
Phone
(502) 409-6898
Fax
(855) 852-7155
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Nicoson, M.D.NPI 1275738171
Title
Founding Partner
Phone
(502) 409-6898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2082S0105X 47277 KY Primary

Addresses

Primary practice location

2400 Eastpoint Pkwy
Ste 570
Louisville, KY 40223-4154

Mailing address

2400 Eastpoint Pkwy
Ste 570
Louisville, KY 40223-4154
Phone (502) 409-6898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150126002066 KY Part B Supplier - Clinic/Group Practice 1658695481 Receives reassigned benefits from 4 practitioners
Practice locations: Louisville, KY
O20150711000148 KY DME Supplier - Physician - Plastic and Reconstructive Surgery 1658695481 Practice locations: Louisville, KY
O20151118001223 IN Part B Supplier - Clinic/Group Practice 1658695481 Receives reassigned benefits from 1 practitioner
Practice locations: Jeffersonville, IN

National Provider Directory

National Provider Directory

Locations

2400 Eastpoint Pkwy
Ste 530
Louisville, KY 40223
Phone (502) 409-6898

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIGJCA

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1003214396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 EASTPOINT PKWY",
            "address_2": "STE 570",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234154",
            "telephone_number": "502-409-6898",
            "fax_number": "855-852-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 EASTPOINT PKWY",
            "address_2": "STE 570",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234154",
            "telephone_number": "502-409-6898",
            "fax_number": "855-852-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND AND WRIST OF LOUISVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "NICOSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FOUNDING PARTNER",
        "authorized_official_telephone_number": "502-409-6898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "KY",
            "license": "47277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.