Louisville Neurosurgical Specialists, P.S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LOUISVILLE NEUROSURGICAL SPECIALISTS, P.S.C.

Practice address

4010 Dupont Cir
Suite L-28
Louisville, KY 40207-4812

Phone

(502) 899-9099

Fax

(502) 899-9899

NPI assigned

Jan 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Alexander Petruska, M.D.NPI 1104979590

Title

President

Phone

(502) 899-9099

Specialties & licenses 1

Addresses

Tax ID family

Louisville Neurosurgical Specialist PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Louisville Neurosurgical Specialist PSC

  • Neurological Surgery Physician
  • Louisville, KY
  • NPI 1184760357
  NPD tax ID

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.

• David A Petruska, M.D.

  • Emergency Medicine Physician
  • West Palm Beach, FL
  • NPI 1104979590

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225181639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR",
            "address_2": "SUITE L-28",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074812",
            "telephone_number": "502-899-9099",
            "fax_number": "502-899-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR",
            "address_2": "SUITE L-28",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074812",
            "telephone_number": "502-899-9099",
            "fax_number": "502-899-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE NEUROSURGICAL SPECIALISTS, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRUSKA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-899-9099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louisville Neurology Associates PSC
• Louisville Neuropsychology LLC
• Louisville Neuroscience Institute PLLC
• Louisville Neuroscience Institute PLLC
• Louisville Neurosurgical Specialist PSC
• Louisville OB GYN PSC
• Louisville Observational Medicine Associates PSC
• Louisville Occupational and General Health Services LLC (The Loghs Clinic)
• Louisville Occupational Therapy, LLC
• Louisville Optique PLLC

• Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.