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LOUISVILLE WOUND CARE ASSOCIATES PSC NPI 1124037114


NPI Information

NPI: 1124037114
Provider Name: LOUISVILLE WOUND CARE ASSOCIATES PSC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1 AUDUBON PLAZA DR
LOUISVILLE, KY
ZIP 40217
Phone: (502) 777-9961
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LOUISVILLE WOUND CARE ASSOCIATES PSC is a surgery 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. LOUISVILLE WOUND CARE ASSOCIATES PSC NPI is 1124037114. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 AUDUBON PLAZA DR
LOUISVILLE, KY
ZIP 40217
Phone: (502) 777-9961
Fax: (502) 379-8791

The provider's authorized official is Rodney D Mcmillin .
The authorized official title is President and has the following contact phone number (502) 777-9961.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 5/16/2018.


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
1207VG0400XObstetrics & GynecologyGynecology23946KENTUCKYNo
2208600000XSurgery18435KENTUCKYYes
3363L00000XNurse Practitioner3003616KENTUCKYNo

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
150012570OTHERKENTUCKYPASSPORT
265945933MEDICAIDKENTUCKY
378905221MEDICAIDKENTUCKY
4000000486840OTHERKENTUCKYANTHEM
5201260300MEDICAIDINDIANA

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

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