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MIISPINE NPI 1720680119


NPI Information

NPI: 1720680119
Provider Name: MIISPINE
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
6420 DUTCHMANS PKWY STE 160
LOUISVILLE, KY
ZIP 40205
Phone: (502) 242-6370
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MIISPINE is an orthopaedic surgery in Louisville, KY. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. MIISPINE NPI is 1720680119. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6420 DUTCHMANS PKWY STE 160
LOUISVILLE, KY
ZIP 40205-353
Phone: (502) 242-6370
Fax: (502) 242-6540

The provider's authorized official is Venu Vemuri .
The authorized official title is Owner and has the following contact phone number (502) 242-6370.

The enumeration date for this NPI number is 11/11/2020 and was last updated on 11/29/2022.


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
12085R0202XRadiologyDiagnostic RadiologyNo
2225100000XPhysical TherapistNo
3363A00000XPhysician AssistantNo
4207X00000XOrthopaedic SurgeryYes

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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