University of Louisville Physicians, Inc

Organization Active NPI Otolaryngology Physician · Louisville, KY

NPI 1326318973 · NPPES record last updated Apr 4, 2012

Key facts

NPI
1326318973
Entity type
Organization (NPI type 2)
Primary specialty
Otolaryngology Physician 207Y00000X
Legal business name
UNIVERSITY OF LOUISVILLE PHYSICIANS, INC
Practice address
401 E Chestnut St Unit 710
Louisville, KY 40202-5707
Phone
(502) 583-8303
Fax
(502) 583-2938
NPI assigned
Jan 12, 2012
Organization subpart
No

Authorized official

Name
John Elliott
Title
VP of Human Resources
Phone
(502) 561-2404

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 1,469

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,469

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in KY, IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111017000036 KY Part B Supplier - Clinic/Group Practice 3476725599 Receives reassigned benefits from 2,419 practitioners
This NPI is an additional NPI on the enrollment
O20120405000558 IN Part B Supplier - Clinic/Group Practice 3476725599 Receives reassigned benefits from 76 practitioners
18 other NPIs on this enrollment
Practice locations: Clarksville, IN; Sellersburg, IN; New Albany, MI; New Albany, IN; Madison, IN; Jeffersonville, IN; Corydon, IN

National Provider Directory

Locations

4612 Chamberlain Ln
Chicago, IL 60677

330 Townepark Cir
Louisville, KY 40243

3920 Dutchmans Ln
#308
Louisville, KY 40207

1868 W Hebron Ln
Ste 301
Shepherdsville, KY 40165
Phone (502) 957-2084

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Y00000X Yes

Addresses

Primary practice location

401 E Chestnut St Unit 710
Louisville, KY 40202-5707

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0320

Other names

  • ULP ENT Doing business as

Other providers in Louisville, KY

All providers in Louisville, KY · Otolaryngology Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.