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DR. IAN SPENCER MUTCHNICK MD NPI 1295954386


NPI Information

NPI: 1295954386
Provider Name: DR. IAN SPENCER MUTCHNICK, MD
Classification: Neurological Surgery - 207T00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
210 E GRAY ST
SUITE 1102
LOUISVILLE, KY
ZIP 40202
Phone: (502) 322-5714
Get Directions

DR. Ian Spencer Mutchnick, MD 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. DR. Ian Spencer Mutchnick, MD NPI is 1295954386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

210 E GRAY ST
SUITE 1102
LOUISVILLE, KY
ZIP 40202-900
Phone: (502) 322-5714

The NPI 1295954386 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 10/26/2020.


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 Surgery095567OHIONo
2207T00000XNeurological Surgery43020KENTUCKYYes

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
1000000642043OTHERKENTUCKYANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
23810329OTHERKENTUCKYCIGNA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
350026300OTHERKENTUCKYPASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
4200967320OTHERKENTUCKYANTHEM INDIANA MEDICAID- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
5200967320MEDICAIDINDIANA
63746249000OTHERKENTUCKYPASSPORT ADVANTAGE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
7108520OTHERKENTUCKYSIHO
87100090630MEDICAIDKENTUCKY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.