Norman D. Radtke, MD, PSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NORMAN D. RADTKE, MD, PSC

Practice address

3 Audubon Plaza Dr
Suite 240
Louisville, KY 40217-1319

Phone

(502) 636-2823

Fax

(502) 634-1646

NPI assigned

Aug 29, 2006

Reactivated

Nov 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Norman D. Radtke, M.D.

Title

Owner/Physician

Phone

(502) 636-2823

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• Retina Vitreous Resource Center Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: nradtke@rvrc.updoxdirect.com

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Alexander Ambrose, O.D.

  • Optometrist
  • Evansville, IN
  • NPI 1255998308
  NPD (past)
• Matthew M Boyer, MD

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1346245453
  NPD (past)
• William G Carey, MD

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1104821966
  NPD (past)
• Walter H. Egenmaier, O.D.

  • Optometrist
  • Evansville, IN
  • NPI 1609878990
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1992813810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 AUDUBON PLAZA DR",
            "address_2": "SUITE 240",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171319",
            "telephone_number": "502-636-2823",
            "fax_number": "502-634-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AUDUBON PLAZA DR",
            "address_2": "SUITE 240",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171319",
            "telephone_number": "502-636-2823",
            "fax_number": "502-634-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN D. RADTKE, MD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "deactivation_date": "2008-09-18",
        "reactivation_date": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "RADTKE",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "502-636-2823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "20988",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01035488A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003470A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64209885",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003470F",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003470B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003470D",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NRadtke@rvrc.updoxdirect.com",
            "affiliation": "N",
            "address_1": "3 Audubon Plaza Dr",
            "address_2": "Suite 240",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Retina Vitreous Resource Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Retina Vitreous Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Scott Norcia, MS, CCC-SLP
• Kristi Mahaffey Nord, M.D.
• Gregory Edward Nordloh, PH.D.
• Aldis E Norgello, CRNA
• Norman a. Cummings, M.D.
• Amanda Norman
• Michael Craig Norman, D.C.
• Shannon Norman, LPN
• Claire Norris, LPCC
• Cortlandt Auser Norris, APRN, FNP-C

• Ophthalmology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Ophthalmology Physician in Kentucky

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