NPIMap

Organization Active NPI

St. Matthews Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
National Provider Identifier
1124304274
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ST. MATTHEWS SURGERY CENTER, LLC
Practice address
4130 Dutchmans LN Ste 200
Louisville, KY 40207-4709
Phone
(502) 238-7293
Fax
(502) 238-1285
NPI assigned
Nov 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Mrs. Christina N Vunetich
Title
Business Manager
Phone
(502) 897-1794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4130 Dutchmans LN Ste 200
Louisville, KY 40207-4709

Mailing address

4130 Dutchmans LN Ste 200
Louisville, KY 40207-4709
Phone (502) 238-7293

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1124304274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 DUTCHMANS LN STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074709",
            "telephone_number": "502-238-7293",
            "fax_number": "502-238-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 DUTCHMANS LN STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074709",
            "telephone_number": "502-238-7293",
            "fax_number": "502-238-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MATTHEWS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "VUNETICH",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "502-897-1794",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 Mar 9, 2012; 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.