Kentucky Cardiothoracic Surgery PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

KENTUCKY CARDIOTHORACIC SURGERY PLLC

Practice address

3900 Kresge Way
Louisville, KY 40207-4660

Phone

(502) 810-8002

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Samuel B Pollock Jr., MDNPI 1164593471

Title

Owner Cardiothoracic Surgeon

Phone

(502) 899-3858

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Samuel B Pollock Jr., M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Louisville, KY
  • NPI 1164593471
  NPD Authorized official

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1063623619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7565",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402570565",
            "telephone_number": "502-810-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 KRESGE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074660",
            "telephone_number": "502-810-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY CARDIOTHORACIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER CARDIOTHORACIC SURGEON",
        "authorized_official_telephone_number": "502-899-3858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9590074200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kentucky Aesthetic & Plastic Surgery Institute, PLLC
• Kentucky Anesthesia Partners PLLC
• Kentucky Anesthesia Team PLLC
• Kentucky Blue Medical LLC
• Kentucky Breathe Network
• Kentucky Cardiothoracic Surgery PLLC
• Kentucky Caretakers
• Kentucky Case Management Services
• Kentucky Case Management, LLC
• Kentucky Center for Addiction Recovery Services

• Physician Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.