Organization Active NPI

Douglas Institute PLLC

  • Orthopaedic Surgery Physician
  • Louisville, KY
National Provider Identifier
1346902640
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
DOUGLAS INSTITUTE PLLC
Practice address
9913 Shelbyville Rd Ste 102
Louisville, KY 40223-2902
Phone
(502) 424-8033
NPI assigned
Oct 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Lonnie Douglas, MD
Title
Owner
Phone
(502) 424-8033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

9913 Shelbyville Rd Ste 102
Louisville, KY 40223-2902

Mailing address

9913 Shelbyville Rd Ste 102
Louisville, KY 40223-2902
Phone (502) 424-8033

National Provider Directory

National Provider Directory

Locations

9913 Shelbyville Rd
Ste 102
Louisville, KY 40223
Phone (502) 290-7876

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1346902640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9913 SHELBYVILLE RD STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232902",
            "telephone_number": "502-424-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9913 SHELBYVILLE RD STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232902",
            "telephone_number": "502-424-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-424-8033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 1, 2022; 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.