Organization Active NPI

Shugoll & Sadlo Cardiology PLLC

  • Cardiovascular Disease Physician
  • Louisville, KY
National Provider Identifier
1346371879
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SHUGOLL & SADLO CARDIOLOGY PLLC
Practice address
234 East Gray Street
Suite 554
Louisville, KY 40202-1914
Phone
(502) 629-3838
Fax
(502) 629-3833
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Wayne M Shugoll, MDNPI 1255384020
Title
Physician and Owner
Phone
(502) 629-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

234 East Gray Street
Suite 554
Louisville, KY 40202-1914

Mailing address

4736 Reliable Pkwy
Chicago, IL 60686-0001
Phone (502) 629-3838

Other identifiers 3

IdentifierTypeStateIssuer
200879140AMedicaidIN
7100000930MedicaidKY
DG0273OtherKYRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

4736 Reliable Pkwy
Chicago, IL 60686

4950 Norton Healthcare Blvd
Ste 202
Louisville, KY 40241
Phone (502) 629-3838

Practitioners & affiliated clinicians

Practitioners 1

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1346371879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001",
            "telephone_number": "502-629-3838",
            "fax_number": "502-629-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 EAST GRAY STREET",
            "address_2": "SUITE 554",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021914",
            "telephone_number": "502-629-3838",
            "fax_number": "502-629-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUGOLL & SADLO CARDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "SHUGOLL",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN AND OWNER",
        "authorized_official_telephone_number": "502-629-3838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200879140A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100000930",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG0273",
            "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 Aug 13, 2008; 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.