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LOUISVILLE ORTHOPAEDIC CLINIC & SPORTS REHABILITATION CENTER PSC NPI 1407965015


NPI Information

NPI: 1407965015
Provider Name: LOUISVILLE ORTHOPAEDIC CLINIC & SPORTS REHABILITATION CENTER PSC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
4130 DUTCHMANS LN STE 300
LOUISVILLE, KY
ZIP 40207
Phone: (502) 897-1794
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LOUISVILLE ORTHOPAEDIC CLINIC & SPORTS REHABILITATION CENTER PSC is an orthopaedic surgery in Louisville, KY. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. LOUISVILLE ORTHOPAEDIC CLINIC & SPORTS REHABILITATION CENTER PSC NPI is 1407965015. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4130 DUTCHMANS LN STE 300
LOUISVILLE, KY
ZIP 40207-710
Phone: (502) 897-1794
Fax: (502) 897-3852

The provider's authorized official is Scott D Kuiper .
The authorized official title is Md and has the following contact phone number (502) 897-1794.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 2/22/2024.


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
1207T00000XNeurological SurgeryNo
2207XS0106XOrthopaedic SurgeryHand SurgeryNo
3207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryNo
4207XX0801XOrthopaedic SurgeryOrthopaedic TraumaNo
5208VP0014XPain MedicineInterventional Pain MedicineNo
6213ES0103XPodiatristFoot & Ankle SurgeryNo
7225X00000XOccupational TherapistNo
8261QP2000XClinic/CenterPhysical TherapyNo
9332B00000XDurable Medical Equipment & Medical SuppliesNo
10363A00000XPhysician AssistantNo
11363AM0700XPhysician AssistantMedicalNo
12363AS0400XPhysician AssistantSurgicalNo
13363L00000XNurse PractitionerNo
14207X00000XOrthopaedic SurgeryYes

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
17100145820MEDICAIDKENTUCKY
27100915370MEDICAIDKENTUCKY
3201294280AMEDICAIDINDIANA
4300073416MEDICAIDINDIANA
565933426MEDICAIDKENTUCKY
690135567MEDICAIDKENTUCKY
7300012071MEDICAIDINDIANA
87100766690MEDICAIDKENTUCKY
9100384780AMEDICAIDINDIANA
107100109060MEDICAIDKENTUCKY
117100109080MEDICAIDKENTUCKY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.