Kentucky Podiatry PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00388 Issued in KY

Legal business name

KENTUCKY PODIATRY PLLC

Practice address

3403 Gatecreek Rd
Louisville, KY 40272-2687

Phone

(502) 381-7563

Fax

(513) 858-7827

NPI assigned

Jan 16, 2013

Organization subpart

No

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

Authorized official

Name

Jeffrey Marzian

Title

DPM

Phone

(502) 381-7563

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1053658682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 GATECREEK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722687",
            "telephone_number": "502-381-7563",
            "fax_number": "513-858-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 GATECREEK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722687",
            "telephone_number": "502-381-7563",
            "fax_number": "513-858-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "MARZIAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "502-381-7563"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100242390",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201171800",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kentucky Orthotic Providers, LLC
• Kentucky Pain & Rehab LLC
• Kentucky Pain Associates, PLLC
• Kentucky Pain Management PSC
• Kentucky Pediatric Ophthalmology and Strabismus, PLLC
• Kentucky Psychiatric and Mental Health Serivces, PLLC
• Kentucky Psychiatric Care, PLLC
• Kentucky Recovery Limited Liability Company
• Kentucky Recovery Limited Liability Company
• Kentucky School for the Blind

• Podiatrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.