Active NPI
Brownsboro Plastic and Hand Surgery, Inc
- Plastic Surgery Physician
- Louisville, KY
National Provider Identifier
1720190093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 26468
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 26468 | KY | Primary |
| Surgery of the Hand (Plastic Surgery) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1052955 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
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.