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LUCASPARKSREA & VANDAALEN PLC NPI 1831244011


NPI Information

NPI: 1831244011
Provider Name: LUCAS,PARKS,REA & VANDAALEN, PLC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
4402 CHURCHMAN AVE
STE, 205
LOUISVILLE, KY
ZIP 40215
Phone: (502) 366-8825
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LUCAS,PARKS,REA & VANDAALEN, PLC is a thoracic surgery cardiothoracic vascular surgery in Louisville, KY. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. LUCAS,PARKS,REA & VANDAALEN, PLC NPI is 1831244011. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4402 CHURCHMAN AVE
STE, 205
LOUISVILLE, KY
ZIP 40215-190
Phone: (502) 366-8825
Fax: (502) 366-0044

The provider's authorized official is Franco R Rea .
The authorized official title is Owner and has the following contact phone number (502) 366-8825.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 10/11/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)17917KENTUCKYNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)26040KENTUCKYNo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)27240KENTUCKYNo
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)32579INDIANANo
5208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)28268INDIANANo
6208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)46343INDIANANo
7208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)40712INDIANANo
8208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)19706KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11048803OTHERKENTUCKYPASSPORT
265926958MEDICAIDKENTUCKY
3244900MEDICARE PININDIANA
4CN3171OTHERRAILROAD MEDICARE
55154MEDICARE PINKENTUCKY
6195800MEDICARE PININDIANA
73565MEDICARE 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: 5/5/2024

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