Organization Active NPI

Michael J. Doyle MD PLLC

  • Neurological Surgery Physician
  • Louisville, KY
National Provider Identifier
1295906139
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
28798 Issued in KY
Legal business name
MICHAEL J. DOYLE MD PLLC
Practice address
4001 Kresge Way
Suite 238
Louisville, KY 40207-4640
Phone
(502) 896-8901
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Michael Joseph Doyle
Title
Manager
Phone
(502) 896-8091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 28798 KY Primary

Addresses

Primary practice location

4001 Kresge Way
Suite 238
Louisville, KY 40207-4640

Mailing address

4001 Kresge Way
Suite 238
Louisville, KY 40207-4640
Phone (502) 896-8901

Other identifiers 1

IdentifierTypeStateIssuer
000000562773OtherKYANTHEM

National Provider Directory

National Provider Directory

Locations

1919 State St
Ste 20
New Albany, IN 47150
Phone (502) 896-8091

1850 State St
Fl First
New Albany, IN 47150
Phone (812) 949-5569

1025 New Moody Ln
Ste 202
Lagrange, KY 40031
Phone (502) 222-8545

4001 Kresge Way
Ste 238
Louisville, KY 40207
Phone (502) 893-7871

Practitioners & affiliated clinicians

Practitioners 2

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": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1295906139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KRESGE WAY",
            "address_2": "SUITE 238",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074640",
            "telephone_number": "502-896-8901",
            "fax_number": "502-896-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KRESGE WAY",
            "address_2": "SUITE 238",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074640",
            "telephone_number": "502-896-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. DOYLE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-896-8091"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "28798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000562773",
            "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 Feb 29, 2012; 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.