NPIMap

Organization Active NPI

Spine Surgery, PSC

  • Orthopaedic Surgery of the Spine Physician
  • Louisville, KY
National Provider Identifier
1447236237
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
SPINE SURGERY, PSC
Practice address
210 E Gray St
Suite 601
Louisville, KY 40202-3902
Phone
(502) 585-2300
Fax
(502) 584-2726
NPI assigned
Dec 22, 2005
Last updated
Apr 7, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SPINE SURGERY, PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Mrs. Linette M Gadwah
Title
Credentialing Coordinator
Phone
(502) 585-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

210 E Gray St
Suite 601
Louisville, KY 40202-3902

Mailing address

210 E Gray St
Suite 601
Louisville, KY 40202-3902
Phone (502) 585-2300

National Provider Directory

National Provider Directory
Part of
Spine Surgery PSC

Locations

590 Missouri Ave
Jeffersonville, IN 47130
Phone (812) 282-8400

210 E Gray St
Ste 601
Louisville, KY 40202
Phone (502) 585-2300

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1447236237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST",
            "address_2": "SUITE 601",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023902",
            "telephone_number": "502-585-2300",
            "fax_number": "502-584-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST",
            "address_2": "SUITE 601",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023902",
            "telephone_number": "502-585-2300",
            "fax_number": "502-584-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SURGERY, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPINE SURGERY, PSC",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "GADWAH",
        "authorized_official_first_name": "LINETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "502-585-2300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "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 Apr 7, 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.