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EAST LOUISVILLE NEUROLOGY PSC NPI 1568622314


NPI Information

NPI: 1568622314
Provider Name: EAST LOUISVILLE NEUROLOGY, PSC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
13806 LAKE POINT CIRCLE
SUITE 101
LOUISVILLE, KY
ZIP 40223
Phone: (502) 254-4014
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EAST LOUISVILLE NEUROLOGY, PSC is a neurology psychiatry neurology in Louisville, KY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. EAST LOUISVILLE NEUROLOGY, PSC NPI is 1568622314. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13806 LAKE POINT CIRCLE
SUITE 101
LOUISVILLE, KY
ZIP 40223
Phone: (502) 254-4014
Fax: (502) 254-4015

The provider's authorized official is Juanita Blakeman .
The authorized official title is Billing Manager and has the following contact phone number (502) 254-4014.

The enumeration date for this NPI number is 6/16/2008 and was last updated on 1/15/2014.


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
1174400000XSpecialist2084N0400XKENTUCKYNo
22084N0400XPsychiatry & NeurologyNeurology32411KENTUCKYYes

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
1G43705MEDICARE UPINKENTUCKY
264324114MEDICAIDKENTUCKY
31788801MEDICARE 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: 11/14/2023

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.