Organization Active NPI

Louisville Eye Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1932642469
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
LOUISVILLE EYE ANESTHESIA LLC
Practice address
9202 Leesgate Rd
Louisville, KY 40222-5001
Phone
(502) 637-4800
Fax
(502) 637-1550
NPI assigned
Dec 1, 2016
Last updated
Jun 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Alina Logan
Title
Vice President
Phone
(615) 240-3740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

9202 Leesgate Rd
Louisville, KY 40222-5001

Mailing address

1A Burton Hills Blvd
Attn: Provider Enrollment
Nashville, TN 37215-6187
Phone (615) 922-6145

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1400 Poplar Level Rd
Ste 1
Louisville, KY 40217
Phone (502) 637-4800

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1932642469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-922-6145",
            "fax_number": "615-490-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 LEESGATE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225001",
            "telephone_number": "502-637-4800",
            "fax_number": "502-637-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE EYE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-240-3740"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "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 Jun 26, 2020; 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.