Provider Type Icon

DR. KAREN AVANESOV D.O NPI 1629014675


NPI Information

NPI: 1629014675
Provider Name: DR. KAREN AVANESOV, D.O
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Individual

Specialization: Orthopaedic Surgery of the Spine

Organization: ORTHOPAEDICS SPINE AND SPORTS MEDICINE LLC

PECOS Registration: Yes

Address:
210 E GRAY ST
SUITE 900
LOUISVILLE, KY
ZIP 40202
Phone: (502) 584-7525
Get Directions

DR. Karen Avanesov, D.O is an orthopaedic surgery of the spine orthopaedic surgery in Louisville, KY with 20 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. Karen Avanesov, D.O NPI is 1629014675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2004

The provider's business location address is:

210 E GRAY ST
SUITE 900
LOUISVILLE, KY
ZIP 40202-900
Phone: (502) 584-7525
Fax: (502) 584-6851

The NPI 1629014675 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 enumeration date for this NPI number is 6/20/2006 and was last updated on 7/6/2010.


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
1204D00000XNeuromusculoskeletal Medicine & OMM238138NEW YORKNo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine238138NEW YORKNo
3207X00000XOrthopaedic Surgery238138NEW YORKNo
4207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine03167KENTUCKYYes

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
17100084130MEDICAIDKENTUCKY
23740627000OTHERKENTUCKYPASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER
3200952070OTHERKENTUCKYHEALTHY INDIANA PLAN- NORTON LEATHERMAN SPINE CENTER
400533170MEDICARE PINKENTUCKY
5200952070MEDICAIDINDIANA
600533170OTHERKENTUCKYADVANTRA FREEDOM- NORTON LEATHERMAN SPINE CENTER
750025970OTHERKENTUCKYPASSPORT- NORTON LEATHERMAN SPINE CENTER
8000000628579OTHERKENTUCKYANTHEM- NORTON LEATHERMAN SPINE CENTER
9000051983POTHERKENTUCKYHUMANA- NORTON LEATHERMAN SPINE CENTER
10200952070OTHERKENTUCKYSIHO- NORTON LEATHERMAN SPINE CENTER

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

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.