Organization Active NPI

Thoracic & Vascular Associates, P.S.C.

  • Specialist
  • Louisville, KY
National Provider Identifier
1619909298
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THORACIC & VASCULAR ASSOCIATES, P.S.C.
Practice address
201 Abraham Flexner Way
Suite 1004
Louisville, KY 40202-3841
Phone
(502) 589-3173
Fax
(502) 589-6751
NPI assigned
Jul 6, 2006
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Martin Shehan
Title
Administrator
Phone
(502) 583-9565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

201 Abraham Flexner Way
Suite 1004
Louisville, KY 40202-3841

Mailing address

201 Abraham Flexner Way
Suite 1004
Louisville, KY 40202-3841
Phone (502) 589-3173

Other identifiers 1

IdentifierTypeStateIssuer
65929234MedicaidKY

National Provider Directory

National Provider Directory

Locations

201 Abraham Flexner Way
#10
Louisville, KY 40202

201 Abraham Flexner Way
Ste 1004
Louisville, KY 40202
Phone (502) 583-9565

6400 Dutchmans Pkwy
Ste 331
Louisville, KY 40205
Phone (502) 896-0055

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1619909298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ABRAHAM FLEXNER WAY",
            "address_2": "SUITE 1004",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023841",
            "telephone_number": "502-589-3173",
            "fax_number": "502-589-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ABRAHAM FLEXNER WAY",
            "address_2": "SUITE 1004",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023841",
            "telephone_number": "502-589-3173",
            "fax_number": "502-589-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORACIC & VASCULAR ASSOCIATES, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "SHEHAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "502-583-9565"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65929234",
            "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 29, 2008; 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.