Organization Active NPI

Brownsboro Plastic and Hand Surgery, Inc

  • Plastic Surgery Physician
  • Louisville, KY
National Provider Identifier
1720190093
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
26468 Issued in KY
Legal business name
BROWNSBORO PLASTIC AND HAND SURGERY, INC
Practice address
6002 Brownsboro Park Blvd Ste E
Louisville, KY 40207-1298
Phone
(502) 897-1441
Fax
(502) 897-3234
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Thomas D Cummins, M.D. FACS
Title
President/Physician
Phone
(502) 897-1441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 26468 KY Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X 26468 KY

Addresses

Primary practice location

6002 Brownsboro Park Blvd Ste E
Louisville, KY 40207-1298

Mailing address

6002 Brownsboro Park Blvd Ste E
Louisville, KY 40207-1298
Phone (502) 897-1441

Other identifiers 1

IdentifierTypeStateIssuer
1052955MedicaidKY

National Provider Directory

National Provider Directory

Locations

6002 Brownsboro Park Blvd
Ste E
Louisville, KY 40207
Phone (502) 897-1441

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1720190093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 BROWNSBORO PARK BLVD STE E",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071298",
            "telephone_number": "502-897-1441",
            "fax_number": "502-897-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 BROWNSBORO PARK BLVD STE E",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071298",
            "telephone_number": "502-897-1441",
            "fax_number": "502-897-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSBORO PLASTIC AND HAND SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "502-897-1441",
        "authorized_official_credential": "M.D. FACS"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "KY",
            "license": "26468",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "KY",
            "license": "26468",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1052955",
            "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 Mar 24, 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.