Individual provider Active NPI

Alessandra Anise Spagnolia, MD

  • Plastic and Reconstructive Surgery Physician
  • Louisville, KY
National Provider Identifier
1861054777
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
58484 Issued in KY
Practice address
University of Louisville - Dept of Plastic Surgery
550 S Jackson St
Louisville, KY 40292
Phone
(502) 852-6880
Fax
(502) 852-8915
NPI assigned
Jul 1, 2019
Last updated
Jul 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 58484 KY Primary

Addresses

Primary practice location

University of Louisville - Dept of Plastic Surgery
550 S Jackson St
Louisville, KY 40292

Mailing address

University of Louisville - Dept of Plastic Surgery
550 S Jackson St
Louisville, KY 40292
Phone (502) 852-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58484KYMDPlastic and Reconstructive Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1861054777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF LOUISVILLE - DEPT OF PLASTIC SURGERY",
            "address_2": "550 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40292",
            "telephone_number": "502-852-6880",
            "fax_number": "502-852-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF LOUISVILLE - DEPT OF PLASTIC SURGERY",
            "address_2": "550 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40292",
            "telephone_number": "502-852-6880",
            "fax_number": "502-852-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAGNOLIA",
        "first_name": "ALESSANDRA",
        "middle_name": "ANISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KY",
            "license": "58484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.