NPIMap

Organization Active NPI

Louisville Surgassist LLC

  • Specialist
  • Louisville, KY
National Provider Identifier
1831514728
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
SA161 Issued in KY
Legal business name
LOUISVILLE SURGASSIST LLC
Practice address
7601 Carmil CT
Louisville, KY 40291-2931
Phone
(502) 533-6924
NPI assigned
Feb 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Mr. Travis Pablo, SURGICAL ASSISTNPI 1306072913
Title
Owner
Phone
(502) 533-6924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X SA161 KY Primary

Addresses

Primary practice location

7601 Carmil CT
Louisville, KY 40291-2931

Mailing address

7601 Carmil CT
Louisville, KY 40291-2931
Phone (502) 533-6924

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1831514728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 CARMIL CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402912931",
            "telephone_number": "502-533-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 CARMIL CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402912931",
            "telephone_number": "502-533-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE SURGASSIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "PABLO",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-533-6924",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SURGICAL ASSIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "SA161",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 28, 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.