Active NPI
Eugene Craig Dorf, MD
- Obstetrics & Gynecology Physician
- Louisville, KY
National Provider Identifier
1447266549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 27775
- Practice address
- 950 Breckenridge LN Ste 200
Louisville, KY 40207-5929 - Phone
- (502) 893-6777
- Fax
- (502) 899-5535
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 27775 | KY | Primary |
Addresses
Primary practice location
950 Breckenridge LN Ste 200
Louisville, KY 40207-5929
Mailing address
2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4917
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64277759 | Medicaid | KY | |
| 2623 | Other | KY | BCBS |
| 1051301 | Other | KY | PASSPORT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27775 | KY | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1447266549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 STANLEY GAULT PKWY",
"address_2": "STE 129",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235176",
"telephone_number": "502-253-4917",
"fax_number": "502-489-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 BRECKENRIDGE LN STE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402075929",
"telephone_number": "502-893-6777",
"fax_number": "502-899-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORF",
"first_name": "EUGENE",
"middle_name": "CRAIG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "27775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64277759",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2623",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1051301",
"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 Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.