Organization Active NPI

Orthopaedic Specialists PLLC

  • Specialist
  • Louisville, KY
National Provider Identifier
1124136254
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33575 Issued in KY
Legal business name
ORTHOPAEDIC SPECIALISTS PLLC
Practice address
4001 Kresge Way
Suite 330
Louisville, KY 40207-4640
Phone
(502) 212-2663
Fax
(502) 212-2004
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Stacie GrossfeldNPI 1710980842
Title
President
Phone
(502) 212-2663

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 33575 KY Primary

Addresses

Primary practice location

4001 Kresge Way
Suite 330
Louisville, KY 40207-4640

Mailing address

4001 Kresge Way
Suite 330
Louisville, KY 40207-4652
Phone (502) 212-2663

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031218000003 KY Part B Supplier - Clinic/Group Practice 3678470556 Receives reassigned benefits from 3 practitioners
Practice locations: Louisville, KY
O20100930062789 KY DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3678470556 Practice locations: Louisville, KY
O20140730002625 IN Part B Supplier - Clinic/Group Practice 3678470556 Receives reassigned benefits from 2 practitioners
Practice locations: Jeffersonville, IN

National Provider Directory

National Provider Directory

Locations

6106 Crestwood Sta
#A
Crestwood, KY 40014
Phone (502) 243-3161

6106 Crestwood Sta
#B
Crestwood, KY 40014

6225 W Highway 146
#B
Crestwood, KY 40014

6580 Kenwood Crossing Rd
Crestwood, KY 40014
Phone (502) 241-1660

Practitioners & affiliated clinicians

Practitioners 7

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": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1124136254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KRESGE WAY",
            "address_2": "SUITE 330",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074652",
            "telephone_number": "502-212-2663",
            "fax_number": "502-212-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KRESGE WAY",
            "address_2": "SUITE 330",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074640",
            "telephone_number": "502-212-2663",
            "fax_number": "502-212-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "GROSSFELD",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-212-2663"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "33575",
            "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 Dec 6, 2012; 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.