Radius Anesthesia of Kentucky, PLLC
Organization Active NPI Certified Registered Nurse Anesthetist · Louisville, KY
NPI 1679020689 · NPPES record last updated Feb 27, 2024
Key facts
- NPI
- 1679020689
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- RADIUS ANESTHESIA OF KENTUCKY, PLLC
- Practice address
- 4965 US Highway 42
Louisville, KY 40222-6372 - Phone
- (888) 589-8550
- Fax
- (201) 604-6571
- NPI assigned
- Sep 7, 2016
- Organization subpart
- No
Authorized official
- Name
- Haroon Chaudhry, MD
- Title
- President
- Phone
- (917) 621-6854
Corporate family (same tax ID) 1
Practitioners 46
-
Jessica E Arnold, CRNA
-
Debra A Barber, CRNA
-
Stephen J Breitigan, CRNA
-
Faezah Ali Bux, M.D.
-
Kishin K Dodwani, M.D.
-
Mary Beth Fletcher, CRNA
-
Abhijit Halder, MD
-
George Kargas, M.D.
-
Ashley Ann Kelly, CRNA
-
Philip S. Koerper, M.D.
-
Joshua Anthony Lee, CRNA
-
Sharonda N Lightsy, CRNA
-
Charles Lowrey III, M.D., M.P.H.
-
Sara Ann McKechnie, CRNA
-
Cynthia L. Northcutt, CRNA
-
Matthew Alan O'Connor, CRNA
-
Dele Ogunyemi, DO
-
Scott Kendall Ohler, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170224002382 | KY | Part B Supplier - Clinic/Group Practice | 6002190758 |
Receives reassigned benefits from 44 practitioners Practice locations: Lexington, KY |
National Provider Directory
- Tax ID family
- Radius Anesthesia of Kentucky PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
4965 US Highway 42
Louisville, KY 40222-6372
Mailing address
111 Town Square PL Ste 420
Jersey City, NJ 07310-1724
Phone (888) 589-8550
Other providers in Louisville, KY
- Paulina Jean Rademaker
- Andrew Philip Rader
- Sara Michelle Rader
- Radiant
- Radiology Staffing Solutions, PSC
- Aundria Radmacher
- Norman D Radtke
- Sarah Boyd Radtke
- Steven J Radtke
- Veronika Jean Radziwill
All providers in Louisville, KY · Certified Registered Nurse Anesthetist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.