TYSON SCHWAB SHORT & WEISS PSC NPI 1194774760

NPI Information

NPI: 1194774760
Provider Name: TYSON, SCHWAB, SHORT & WEISS PSC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY
ZIP 40202
Phone: (502) 587-4231
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TYSON, SCHWAB, SHORT & WEISS PSC is a diagnostic radiology radiology in Louisville, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. TYSON, SCHWAB, SHORT & WEISS PSC NPI is 1194774760. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY
ZIP 40202-818
Phone: (502) 587-4231

The provider's authorized official is Dean Leslie .
The authorized official title is President/radiologist and has the following contact phone number (502) 583-2731.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 3/12/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes
2	363L00000X	Nurse Practitioner				No

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
1	000000063366	OTHER	KENTUCKY	ANTHEM BLUE FACET
2	2145128	MEDICAID	OHIO
3	=========001	OTHER	KENTUCKY	CHAMPUS
4	100001620B	MEDICAID	INDIANA
5	=========005	OTHER	INDIANA	ANTHEM BCBS
6	100001620C	MEDICAID	INDIANA
7	=========007	OTHER	INDIANA	ANTHEM BCBS
8	CD0227	OTHER	KENTUCKY	RAILROAD MEDICARE
9	1058376	MEDICAID	KENTUCKY
10	=========00	OTHER	OHIO	BUREAU OF WORK COMP
11	078680801	MEDICAID	TEXAS
12	100001620A	MEDICAID	INDIANA
13	65901985	MEDICAID	KENTUCKY
14	529925200	MEDICAID	ALABAMA
15	100001620E	MEDICAID	INDIANA
16	3810004746	MEDICAID	WEST VIRGINIA

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

NPI Synchronization or Removal

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