Thaddeus Peter Paruch, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

TP292 Issued in KY

Practice address

6420 Dutchmans Parkway
Ste 390
Louisville, KY 40205

Phone

(502) 259-9160

Fax

(502) 371-0790

NPI assigned

Sep 16, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1750782272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PARKWAY",
            "address_2": "STE 390",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40205",
            "telephone_number": "502-259-9160",
            "fax_number": "502-371-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PARKWAY",
            "address_2": "STE 390",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40205",
            "telephone_number": "502-259-9160",
            "fax_number": "502-371-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARUCH",
        "first_name": "THADDEUS",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TP292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Partners in Palliative Care PLLC
• Partners in Physical Therapy PLLC
• Partners in Physical Therapy PLLC
• Partners in Womens Health
• Lukasz Michal Partyka, MD
• Sheehan Parvez
• Raymond None Pary, M.D.
• Mark S Parzych, M.A.
• Selma Marie Pascoe
• Hilario Ambrosio Pascua, ARNP

• Medical Physician Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Medical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.