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LOUISVILLE NEUROSURGICAL SPECIALIST PSC NPI 1184760357


NPI Information

NPI: 1184760357
Provider Name: LOUISVILLE NEUROSURGICAL SPECIALIST PSC
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
4010 DUPONT CIR
SUITE L28
LOUISVILLE, KY
ZIP 40207
Phone: (502) 899-9099
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LOUISVILLE NEUROSURGICAL SPECIALIST PSC is a neurological surgery in Louisville, KY. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. LOUISVILLE NEUROSURGICAL SPECIALIST PSC NPI is 1184760357. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4010 DUPONT CIR
SUITE L28
LOUISVILLE, KY
ZIP 40207-812
Phone: (502) 899-9099
Fax: (502) 899-9899

The provider's authorized official is David Petruska .
The authorized official title is Owner Physician and has the following contact phone number (502) 899-9099.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 8/20/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological Surgery24702KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
150001903OTHERPASSPORT ID
27902MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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