Organization Active NPI

Louisville Colorectal Associates LLC

  • Colon & Rectal Surgery Physician
  • Louisville, KY
National Provider Identifier
1649366196
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
16857 Issued in KY
Legal business name
LOUISVILLE COLORECTAL ASSOCIATES LLC
Practice address
250 East Liberty Street
Suite 610
Louisville, KY 40202-1536
Phone
(502) 584-6666
Fax
(502) 589-6342
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Lowell Dean Katz, MDNPI 1942291091
Title
President
Phone
(502) 584-6666

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)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X 16857 KY Primary

Addresses

Primary practice location

250 East Liberty Street
Suite 610
Louisville, KY 40202-1536

Mailing address

250 E Liberty St
Suite 610
Louisville, KY 40202-1536
Phone (502) 584-6666

Other identifiers 3

IdentifierTypeStateIssuer
65932006MedicaidKY
1048817OtherKYPASSPORT
2432234000OtherKYPASSPORT ADVANTAGE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1649366196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E LIBERTY ST",
            "address_2": "SUITE 610",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021536",
            "telephone_number": "502-584-6666",
            "fax_number": "502-589-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EAST LIBERTY STREET",
            "address_2": "SUITE 610",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021536",
            "telephone_number": "502-584-6666",
            "fax_number": "502-589-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE COLORECTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-584-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "KY",
            "license": "16857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65932006",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1048817",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2432234000",
            "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 Apr 20, 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.