Active NPI
Kenneth Lynn Silk, M.D.
- Otolaryngology Physician
- Louisville, KY
National Provider Identifier
1396742193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 17604
- Practice address
- 6420 Dutchmans Pkwy
#380
Louisville, KY 40205-3372 - Phone
- (502) 894-8441
- Fax
- (502) 894-4453
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 17604 | KY | Primary |
| Otolaryngology Physician | 207Y00000X | 01023705A | IN |
Addresses
Primary practice location
6420 Dutchmans Pkwy
#380
Louisville, KY 40205-3372
Mailing address
6420 Dutchmans Pkwy
#380
Louisville, KY 40205-3372
Phone (502) 894-8441
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000454443 | Other | KY | ANTHEM FACET |
| 64176043 | Medicaid | KY | |
| 040006458 | Other | KY | RAILROAD MEDICARE |
| 200065780A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01023705A | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Care Centers PLLC | Otolaryngology | Current | Accepting new patients |
Locations
1405 Spring St
Jeffersonvlle, IN 47130
Phone (502) 894-8441
6420 Dutchmans Pkwy
Ste 380
Louisville, KY 40205
Phone (502) 894-8441
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Louisville, KY
- NPI 1093381485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1396742193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 DUTCHMANS PKWY",
"address_2": "#380",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053372",
"telephone_number": "502-894-8441",
"fax_number": "502-894-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 DUTCHMANS PKWY",
"address_2": "#380",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053372",
"telephone_number": "502-894-8441",
"fax_number": "502-894-4453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILK",
"first_name": "KENNETH",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KY",
"license": "17604",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01023705A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM FACET",
"identifier": "0000000454443",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64176043",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040006458",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200065780A",
"state": "IN"
}
],
"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 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.