Kentucky Cardiothoracic Surgery PLLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

0543246 Issued in KY

Legal business name

KENTUCKY CARDIOTHORACIC SURGERY PLLC

Practice address

3900 Kresge Way
Suite 46
Louisville, KY 40207-4660

Phone

(502) 810-8002

Fax

(502) 810-8002

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Samuel B Pollock Jr., M.D.

Title

Owner

Phone

(502) 810-8002

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1871640201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7565",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402570565",
            "telephone_number": "502-810-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 KRESGE WAY",
            "address_2": "SUITE 46",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074660",
            "telephone_number": "502-810-8002",
            "fax_number": "502-810-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY CARDIOTHORACIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-810-8002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "0543246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9590074200",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65937914",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kentucky Anesthesia Partners PLLC
• Kentucky Anesthesia Team PLLC
• Kentucky Blue Medical LLC
• Kentucky Breathe Network
• Kentucky Cardiothoracic Surgery PLLC
• Kentucky Caretakers
• Kentucky Case Management Services
• Kentucky Case Management, LLC
• Kentucky Center for Addiction Recovery Services
• Kentucky Center for Advanced Neuromodulation

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.