Active NPI
Gregory B. Nazar, M.D., PSC.
- Neurological Surgery Physician
- Louisville, KY
National Provider Identifier
1598870727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 26253
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 26253 | KY | Primary |
| Nurse Practitioner | 363L00000X | 3003327 | KY | |
| Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100204780 NPGRP | Medicaid | KY | |
| 7100198630 MDGRP | Medicaid | KY | |
| 50023701 | Other | KY | PASSPORT GROUP |
National Provider Directory
National Provider DirectoryLocations
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.