Organization Active NPI

Gregory B. Nazar, M.D., PSC.

  • Neurological Surgery Physician
  • Louisville, KY
National Provider Identifier
1598870727
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
26253 Issued in KY
Legal business name
GREGORY B. NAZAR, M.D., PSC.
Practice address
3 Audubon Plaza Dr
Suite 410
Louisville, KY 40217-1300
Phone
(502) 636-2667
Fax
(502) 636-2668
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Fawn R Pate
Title
Office Manager
Phone
(502) 636-2667

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 26253 KY Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 3003327 KY
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 3006765 KY

Addresses

Primary practice location

3 Audubon Plaza Dr
Suite 410
Louisville, KY 40217-1300

Mailing address

3 Audubon Plaza Dr
Suite 410
Louisville, KY 40217-1300
Phone (502) 636-2667

Other identifiers 3

IdentifierTypeStateIssuer
7100204780 NPGRPMedicaidKY
7100198630 MDGRPMedicaidKY
50023701OtherKYPASSPORT GROUP

National Provider Directory

National Provider Directory

Locations

4950 Brownsboro Rd
Ste 204
Louisville, KY 40222
Phone (502) 394-6395

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1598870727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 AUDUBON PLAZA DR",
            "address_2": "SUITE 410",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171300",
            "telephone_number": "502-636-2667",
            "fax_number": "502-636-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AUDUBON PLAZA DR",
            "address_2": "SUITE 410",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171300",
            "telephone_number": "502-636-2667",
            "fax_number": "502-636-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY B. NAZAR, M.D., PSC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "FAWN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-636-2667"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "26253",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003327",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100204780 NPGRP",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100198630 MDGRP",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT GROUP",
            "identifier": "50023701",
            "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 Aug 9, 2012; 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.