NPIMap

Organization Active NPI

University of Louisville Research Foundation

Doing business as ULRF Pediatric Surgery

  • Pediatric Surgery Physician
  • Louisville, KY
National Provider Identifier
1710318167
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
Legal business name
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
Doing business as
ULRF Pediatric Surgery
Practice address
234 E Gray St
Suite 766
Louisville, KY 40202-1900
Phone
(502) 583-7337
NPI assigned
Dec 11, 2013
Last updated
Dec 11, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF LOUISVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
David Dunn, MD
Title
Evp of Health Affairs
Phone
(502) 852-5184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X NU Primary

Addresses

Primary practice location

234 E Gray St
Suite 766
Louisville, KY 40202-1900

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0320

Other identifiers 1

IdentifierTypeStateIssuer
65921934MedicaidKY

Other names 1

  • ULRF Pediatric Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Univ of Louisville DPT131 organizations share this tax ID, including this one
Part of
University of Louisvill

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1710318167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0320",
            "fax_number": "502-588-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E GRAY ST",
            "address_2": "SUITE 766",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021900",
            "telephone_number": "502-583-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF LOUISVILLE",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EVP OF HEALTH AFFAIRS",
        "authorized_official_telephone_number": "502-852-5184",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65921934",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ULRF Pediatric Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 11, 2013; 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.