Ellis & Badenhausen Orthopaedics, PSC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0643220002 Issued in KY

Legal business name

ELLIS & BADENHAUSEN ORTHOPAEDICS, PSC

Practice address

5120 Dixie Hwy Ste 103
Louisville, KY 40216-1775

Phone

(502) 587-1236

Fax

(502) 587-0126

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Tashana M Preston, CPC

Title

Billing Director

Phone

(502) 587-1236

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1992811780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32486",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402322486",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 DIXIE HWY STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161775",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS & BADENHAUSEN ORTHOPAEDICS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "TASHANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "502-587-1236",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "0643220002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellis & Badenhausen Orthopaedics, PSC
• Ellis & Badenhausen Orthopaedics, PSC
• Ellis & Badenhausen Orthopaedics, PSC
• Ellis & Badenhausen Orthopaedics, PSC
• Ellis & Badenhausen Orthopaedics, PSC
• Ellis & Badenhausen Orthopaedics,PSC
• Ahyauna Ellis
• Akia Ellis
• Amy Ellis
• Austin Ellis, DPM

• Durable Medical Equipment & Medical Supplies in Louisville, KY
• Providers in Louisville, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.