NPIMap

Organization Active NPI

Louisville General Surgery PLLC

  • Specialist
  • Louisville, KY
National Provider Identifier
1386606416
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LOUISVILLE GENERAL SURGERY PLLC
Practice address
4121 Dutchmans LN
Ste 607
Louisville, KY 40207-4707
Phone
(502) 899-6470
Fax
(502) 899-6479
NPI assigned
Apr 4, 2006
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Martha Gilbert
Title
Office Manager
Phone
(502) 899-6470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

4121 Dutchmans LN
Ste 607
Louisville, KY 40207-4707

Mailing address

4121 Dutchmans LN
Ste 607
Louisville, KY 40207-4707
Phone (502) 899-6470

Other identifiers 1

IdentifierTypeStateIssuer
65928053MedicaidKY

National Provider Directory

National Provider Directory

Locations

3 Audubon Plaza Dr
Ste 530
Louisville, KY 40217
Phone (502) 629-3820

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1386606416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 DUTCHMANS LN",
            "address_2": "STE 607",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074707",
            "telephone_number": "502-899-6470",
            "fax_number": "502-899-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 DUTCHMANS LN",
            "address_2": "STE 607",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074707",
            "telephone_number": "502-899-6470",
            "fax_number": "502-899-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE GENERAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-899-6470"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65928053",
            "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 Mar 10, 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.