KURT JAENICKE MD NPI 1073671673

NPI Information

  • NPI: 1073671673
  • Provider Name: KURT JAENICKE, MD
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 412 N LOCK AVE
    LOUISA, KY
    ZIP 41230
  • Phone: (606) 638-4595

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NPI Details

Kurt Jaenicke, MD is an urogynecology and reconstructive pelvic surgery in Louisa, KY. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. Kurt Jaenicke, MD NPI is 1073671673. 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:

412 N LOCK AVE
LOUISA, KY
ZIP 41230-115
Phone: (606) 638-4595

The NPI 1073671673 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 12/5/2006 and was last updated on 4/26/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery31309KENTUCKYNo
2207V00000XObstetrics & Gynecology31309KENTUCKYNo
3207V00000XObstetrics & Gynecology16950WEST VIRGINIANo
4207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery16950WEST VIRGINIAYes

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
1000000510048OTHERKENTUCKYANTHEM BCBS
20163719MEDICAIDOHIO
3000000583794OTHERKENTUCKYANTHEM BCBS
464313091MEDICAIDKENTUCKY

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: 3/30/2025

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