Organization Active NPI

Hugo a. Velasco

  • Specialist
  • Louisville, KY
National Provider Identifier
1811225048
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15637 Issued in KY
Legal business name
HUGO A. VELASCO
Practice address
4002 Greenbrook Court
Louisville, KY 40220
Phone
(502) 290-8364
NPI assigned
Nov 30, 2009
Last updated
Nov 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Dr. Hugo A Velasco, M.D.
Title
President
Phone
(502) 290-8364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15637 KY Primary

Addresses

Primary practice location

4002 Greenbrook Court
Louisville, KY 40220

Mailing address

4002 Greenbrook Court
Louisville, KY 40220
Phone (502) 290-8364

Other identifiers 1

IdentifierTypeStateIssuer
64156375MedicaidKY

National Provider Directory

National Provider Directory

Locations

4011 Dutchmans LN
Louisville, KY 40207
Phone (502) 893-1000

4011 Dutchmans LN
Louisville, KY 40207
Phone (502) 893-1000

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1811225048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 GREENBROOK COURT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40220",
            "telephone_number": "502-290-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 GREENBROOK COURT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40220",
            "telephone_number": "502-290-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGO A. VELASCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "HUGO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-290-8364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "15637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64156375",
            "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 Nov 30, 2009; 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.