UNIVERSITY OF LOUISVILLE PHYSICIANS, INC. (ULP GENERAL SURGERY) - NPI NUMBER 1972873529

Summary

Provider Name: UNIVERSITY OF LOUISVILLE PHYSICIANS, INC. (ULP GENERAL SURGERY)

NPI Number: 1972873529

Clasification: Surgery (208600000X)

Address:
401 E CHESTNUT ST UNIT 710
LOUISVILLE, KY
ZIP 40202

Phone Number: (502) 583-8303



Detailed Information

UNIVERSITY OF LOUISVILLE PHYSICIANS, INC. is a surgeon in Louisville, KY. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. The assigned NPI number for this provider is 1972873529 and is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ulp General Surgery.

The provider's business address is:

401 E CHESTNUT ST UNIT 710
LOUISVILLE, KY
ZIP 40202-707
Phone: (502) 583-8303
Fax: (502) 583-2938

The provider's authorized official is John Elliott .
The authorized official title is Vp Of Human Resources and has the following contact phone number (502) 561-2404.

The enumeration date for this NPI number is 1/12/2012 and was last updated on 1/13/2012.

Map - Location of Practice

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Taxonomy Codes

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
1 208600000X Surgery Yes

NPI Record

No. Field Name Field Value
1 NPI 1972873529
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.
5 Provider Other Organization Name ULP GENERAL SURGERY
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 401 E CHESTNUT ST UNIT 710
8 Provider Business Practice Location Address City Name LOUISVILLE
9 Provider Business Practice Location Address State Name KY
10 Provider Business Practice Location Address Postal Code 402025707
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 5025838303
13 Provider Business Practice Location Address Fax Number 5025832938
14 Provider Enumeration Date 1/12/2012
15 Last Update Date 1/13/2012
16 Authorized Official Last Name ELLIOTT
17 Authorized Official First Name JOHN
18 Authorized Official Title or Position VP OF HUMAN RESOURCES
19 Authorized Official Telephone Number 5025612404
20 Healthcare Provider Taxonomy Code 1 208600000X
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Organization Subpart N
23 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 11/14/2014
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