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UNIVERSITY SURGICAL ASSOCIATES PSC NPI 1609847367


NPI Information

NPI: 1609847367
Provider Name: UNIVERSITY SURGICAL ASSOCIATES, PSC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 18D0991173

Address:
401 E CHESTNUT ST
SUITE 710
LOUISVILLE, KY
ZIP 40202
Phone: (502) 583-8303
Get Directions

UNIVERSITY SURGICAL 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. UNIVERSITY SURGICAL ASSOCIATES, PSC NPI is 1609847367. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

401 E CHESTNUT ST
SUITE 710
LOUISVILLE, KY
ZIP 40202-700
Phone: (502) 583-8303
Fax: (502) 584-0302

The provider's authorized official is Timothy D. Crockett .
The authorized official title is Ceo and has the following contact phone number (502) 583-8303.

The CLIA number assigned to this NPI record is 18D0991173 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 12/21/2011.


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
1207Y00000XOtolaryngologyNo
22086S0122XSurgeryPlastic and Reconstructive SurgeryNo
32086X0206XSurgerySurgical OncologyNo
4208C00000XColon & Rectal SurgeryNo
5231H00000XAudiologistNo
6235Z00000XSpeech-Language PathologistNo
7363L00000XNurse PractitionerNo
8363AS0400XPhysician AssistantSurgicalNo
9208600000XSurgeryYes

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
165900946MEDICAIDKENTUCKY
2100001110AMEDICAIDINDIANA
31051066OTHERKENTUCKYPASSPORT

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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