Active NPI
The Louisville Bone & Joint Center
- Orthopaedic Surgery Physician
- Louisville, KY
National Provider Identifier
1467568162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- THE LOUISVILLE BONE & JOINT CENTER
- Practice address
- 210 E Gray St
Ste 701
Louisville, KY 40202-3900 - Phone
- (502) 562-6021
- Fax
- (502) 562-6039
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cyna Khalily, MD
- Title
- Ceo/ President
- Phone
- (502) 562-6021
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
210 E Gray St
Ste 701
Louisville, KY 40202-3900
Mailing address
PO Box 635191
Cincinnati, OH 45263-0043
Phone (513) 891-2813
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE4059 | Other | RR MEDICARE | |
| 50001642 | Other | KY | PASSPORT |
| 2443212000 | Other | KY | PASSPORT ADVANTAGE |
| 7100037410 | Medicaid | KY | |
| 200443290A | Medicaid | IN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Louisville, KY
- NPI 1003925074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244764800000",
"number": "1467568162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635191",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630043",
"telephone_number": "513-891-2813",
"fax_number": "513-793-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E GRAY ST",
"address_2": "STE 701",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023900",
"telephone_number": "502-562-6021",
"fax_number": "502-562-6039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE LOUISVILLE BONE & JOINT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2009-06-12",
"status": "A",
"authorized_official_last_name": "KHALILY",
"authorized_official_first_name": "CYNA",
"authorized_official_title_or_position": "CEO/ PRESIDENT",
"authorized_official_telephone_number": "502-562-6021",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DE4059",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50001642",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2443212000",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100037410",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200443290A",
"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 Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.