NPIMap

Organization Active NPI

Tyson, Schwab, Short & Weiss PSC

  • Diagnostic Radiology Physician
  • Louisville, KY
National Provider Identifier
1194774760
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TYSON, SCHWAB, SHORT & WEISS PSC
Practice address
200 Abraham Flexner Way
Louisville, KY 40202-1818
Phone
(502) 587-4231
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Dean Leslie, M.D.
Title
President/Radiologist
Phone
(502) 583-2731

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

200 Abraham Flexner Way
Louisville, KY 40202-1818

Mailing address

222 S 1St St
Suite 501
Louisville, KY 40202-5404
Phone (502) 583-2731

Other identifiers 12

IdentifierTypeStateIssuer
529925200MedicaidAL
65901985MedicaidKY
100001620AMedicaidIN
000000063366OtherKYANTHEM BLUE FACET
100001620CMedicaidIN
1058376MedicaidKY
100001620EMedicaidIN
3810004746MedicaidWV
CD0227OtherKYRAILROAD MEDICARE
078680801MedicaidTX
100001620BMedicaidIN
2145128MedicaidOH

National Provider Directory

National Provider Directory

Locations

221 E Chestnut St
Louisville, KY 40202
Phone (502) 587-4001

222 S 1st St
Ste 600
Louisville, KY 40202

1230 S Hurstbourne Pkwy
Ste 210
Louisville, KY 40222

Practitioners & affiliated clinicians

Practitioners 11

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1194774760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S 1ST ST",
            "address_2": "SUITE 501",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025404",
            "telephone_number": "502-583-2731",
            "fax_number": "502-583-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ABRAHAM FLEXNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021818",
            "telephone_number": "502-587-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSON, SCHWAB, SHORT & WEISS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT/RADIOLOGIST",
        "authorized_official_telephone_number": "502-583-2731",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529925200",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65901985",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001620A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE FACET",
            "identifier": "000000063366",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001620C",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1058376",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001620E",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004746",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD0227",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078680801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001620B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2145128",
            "state": "OH"
        }
    ],
    "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 12, 2018; 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.