University Surgical Associates, PSC
Organization Active NPI Surgery Physician · Louisville, KY
NPI 1609847367 · NPPES record last updated Dec 21, 2011
Key facts
- NPI
- 1609847367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- UNIVERSITY SURGICAL ASSOCIATES, PSC
- Practice address
- 401 E Chestnut St
Suite 710
Louisville, KY 40202-5700 - Phone
- (502) 583-8303
- Fax
- (502) 584-0302
- NPI assigned
- Jan 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Timothy D. Crockett, CEO
- Title
- Ceo
- Phone
- (502) 583-8303
Corporate family (same tax ID) 3
Practitioners 94
-
Murad O. Al-Momani, PH.D.
-
Jeffrey W. Allen, MD
-
Mohammad Amin, MD
-
Michael Henry Bahr, M.D.
-
Barbara M Baker, PHD
-
Matthew V. Benns, M.D.
-
Thomas M Bergamini, M.D.
-
Stacy B. Block, ARNP
-
Amy M. Cissell, ARNP
-
Melanie G Driscoll, AU.D.
-
Michael J Edwards, M.D.
-
Edwin Earl Gaar, M.D.
-
Toni M Ganzel, MD
-
Hayley Gardner Godby, AU.D.
-
Julie L Goldman, MD
-
Sandra J. Hanlin, ARNP
-
Abbey M Hardy, PA-C
-
Tammy B Harris, ARNP
-
James I Harty, MD
-
Ashely Anderson Howell, ARNP
-
Jennifer L Hutchens, APRN
-
Jennifer K Kloft, AUD
National Provider Directory
- Tax ID family
- University Surgical Associates PSC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician |
207Y00000X | |||
| Surgery Physician |
208600000X | Yes | ||
| Plastic and Reconstructive Surgery Physician |
2086S0122X | |||
| Surgical Oncology Physician |
2086X0206X | |||
| Colon & Rectal Surgery Physician |
208C00000X | |||
| Audiologist |
231H00000X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Surgical Physician Assistant |
363AS0400X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
401 E Chestnut St
Suite 710
Louisville, KY 40202-5700
Mailing address
401 E Chestnut St
Suite 710
Louisville, KY 40202-5700
Phone (502) 583-8303
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100001110A | Medicaid | IN | |
| 1051066 | Other | KY | PASSPORT |
| 65900946 | Medicaid | KY |
Other providers in Louisville, KY
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- University Radiotherapy Associates PSC
- University Surgical Associates, PSC
- University Surgical Associates, PSC
- University Surgical Associates, PSC
- Univesity of Louisville OBGYN
- David Neal Unkrich
- Unlimited Abilities
- Unlimited Learning, PLLC
All providers in Louisville, KY · Surgery Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.