University of Louisville Physicians, Inc.
Organization Active NPI Pediatric Endocrinology Physician · Louisville, KY
NPI 1144586876 · NPPES record last updated Apr 6, 2012
Key facts
- NPI
- 1144586876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Endocrinology Physician 2080P0205X
- Legal business name
- UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.
- Practice address
- 210 E Gray St
Suite 803
Louisville, KY 40202-3900 - Phone
- (502) 629-8821
- Fax
- (502) 629-8824
- NPI assigned
- Apr 6, 2012
- Organization subpart
- No
Authorized official
- Name
- John Elliott
- Title
- VP of Human Resources
- Phone
- (502) 562-4206
Corporate family (same tax ID) 20
Practitioners 17
-
Jeremy Badach, BE, ME, MD
-
Gregory Barnes, MD, PHD
-
Love Bratcher, APRN
-
Taylor Eisenmenger, D.O
-
Darren M Farber, D.O.
-
Leah Marie Harpring, CRNA
-
Michelle Denise Hartman, APRN
-
Andrea Huang, CRNA
-
David A Maddox, MD
-
Mark J McDonald, MD
-
Rodrigo Moreno Garcia, M.D.
-
Donna M Roberts, MD
-
Jennifer Ruth Street, MS, PA-C, ATC
-
Danny W Thacker, PA-C
-
Jun Zhao, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111017000036 | KY | Part B Supplier - Clinic/Group Practice | 3476725599 |
Receives reassigned benefits from 2,419 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Ulp Acb Neurosurgery
Locations
401 E Chestnut St
Unit 710
Louisville, KY 40202
Phone 50258383031332
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician |
2080P0205X | Yes |
Addresses
Primary practice location
210 E Gray St
Suite 803
Louisville, KY 40202-3900
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0320
Other names
- ULP Pediatric Endocrinology
Other providers in Louisville, KY
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
All providers in Louisville, KY · Pediatric Endocrinology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.