NPIMap

Organization Active NPI

PCN Surgical Suites, LLC

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
National Provider Identifier
1952396467
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PCN SURGICAL SUITES, LLC
Practice address
6400 Dutchmans Pkwy
Suite 60
Louisville, KY 40205-3340
Phone
(502) 897-3500
NPI assigned
Sep 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Elmer E Dunbar, MD
Title
Ceo
Phone
(502) 897-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X KY Primary

Addresses

Primary practice location

6400 Dutchmans Pkwy
Suite 60
Louisville, KY 40205-3340

Mailing address

PO Box 7587
Louisville, KY 40257-0587
Phone (866) 256-8453

Other identifiers 1

IdentifierTypeStateIssuer
36001428MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1952396467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7587",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402570587",
            "telephone_number": "866-256-8453",
            "fax_number": "502-471-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY",
            "address_2": "SUITE 60",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053340",
            "telephone_number": "502-897-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCN SURGICAL SUITES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-897-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36001428",
            "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 Apr 16, 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.