Organization Active NPI

Joseph Laratta MD Spine Surgeon, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Louisville, KY
National Provider Identifier
1073133054
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
JOSEPH LARATTA MD SPINE SURGEON, LLC
Doing business as
Joseph L. Laratta, MD
The Neck and Back Institute of Kentucky
The Spine Institute of Kentucky
Practice address
1169 Eastern Pkwy Ste 400
Louisville, KY 40217-1412
Phone
(502) 413-5777
Fax
(502) 413-5766
NPI assigned
Apr 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Joseph L Laratta, MDNPI 1346506052
Title
Owner
Phone
(973) 979-1370

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
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

1169 Eastern Pkwy Ste 400
Louisville, KY 40217-1412

Mailing address

743 E Broadway # 171
Louisville, KY 40202-1711

Other practice location 1

8442 Dixie Hwy
Louisville, KY 40258-1140
Phone (502) 413-5777

Other names 3

  • Joseph L. Laratta, MD Doing business as
  • The Neck and Back Institute of Kentucky Doing business as
  • The Spine Institute of Kentucky Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL eClinicalWorks.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200518003098 KY Part B Supplier - Clinic/Group Practice 7517398936 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

3430 Newburg Rd
Ste 124
Louisville, KY 40218

Practitioners & affiliated clinicians

Practitioners 2

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": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1073133054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 E BROADWAY # 171",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171412",
            "telephone_number": "502-413-5777",
            "fax_number": "502-413-5766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8442 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402581140",
            "country_code": "US",
            "telephone_number": "502-413-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOSEPH LARATTA MD SPINE SURGEON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "LARATTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-979-1370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eClinicalWorks.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1169 Eastern Pkwy Ste 400",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Joseph L. Laratta, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Neck and Back Institute of Kentucky",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Spine Institute of Kentucky",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 3, 2021; 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.