Cardinal Orthotics LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CARDINAL ORTHOTICS LLC

Practice address

7410 New la Grange Rd
Suite 108
Louisville, KY 40222-4871

Phone

(502) 749-8080

Fax

(502) 742-9340

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Farouk Youssefizad

Title

Ceo

Phone

(502) 749-8080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen J Kavka, M.D.

  • Plastic Surgery Physician
  • Louisville, KY
  • NPI 1396899373
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1164736815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 NEW LA GRANGE RD",
            "address_2": "SUITE 108",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224871",
            "telephone_number": "502-749-8080",
            "fax_number": "502-742-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 NEW LA GRANGE RD",
            "address_2": "SUITE 108",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224871",
            "telephone_number": "502-749-8080",
            "fax_number": "502-742-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "YOUSSEFIZAD",
        "authorized_official_first_name": "FAROUK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-749-8080"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Louisville, KY
• Providers in Louisville, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.