NPIMap

Organization Active NPI

Mutyam V. Sharma, PSC

  • Surgery Physician
  • Louisville, KY
National Provider Identifier
1215245253
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17798 Issued in KY
Legal business name
MUTYAM V. SHARMA, PSC
Practice address
2909 Preston Hwy
Louisville, KY 40217
Phone
(502) 625-6321
Fax
(502) 637-6386
NPI assigned
Sep 23, 2010
Last updated
Sep 23, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
MUTYAM V. SHARMA, PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Mutyam V Sharma, PSCNPI 1356460166
Title
Physician
Phone
(502) 635-6321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 17798 KY Primary

Addresses

Primary practice location

2909 Preston Hwy
Louisville, KY 40217

Mailing address

P.O. Box 32513
Louisville, KY 40232
Phone (502) 625-6321

Other identifiers 1

IdentifierTypeStateIssuer
64177983MedicaidKY

National Provider Directory

National Provider Directory
Part of
Dr Mutyam V Sharma

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1215245253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 32513",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40232",
            "telephone_number": "502-625-6321",
            "fax_number": "502-637-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40217",
            "telephone_number": "502-625-6321",
            "fax_number": "502-637-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUTYAM V. SHARMA, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUTYAM V. SHARMA, PSC",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "MUTYAM",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "502-635-6321",
        "authorized_official_credential": "PSC"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "KY",
            "license": "17798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64177983",
            "state": "KY"
        }
    ],
    "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 Sep 23, 2010; 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.