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LOUISVILLE COLORECTAL ASSOCIATES LLC NPI 1649366196


NPI Information

NPI: 1649366196
Provider Name: LOUISVILLE COLORECTAL ASSOCIATES LLC
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
250 EAST LIBERTY STREET
SUITE 610
LOUISVILLE, KY
ZIP 40202
Phone: (502) 584-6666
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LOUISVILLE COLORECTAL ASSOCIATES LLC is a colon rectal surgery in Louisville, KY. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. LOUISVILLE COLORECTAL ASSOCIATES LLC NPI is 1649366196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 EAST LIBERTY STREET
SUITE 610
LOUISVILLE, KY
ZIP 40202-536
Phone: (502) 584-6666
Fax: (502) 589-6342

The provider's authorized official is Lowell Dean Katz .
The authorized official title is President and has the following contact phone number (502) 584-6666.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 4/20/2008.


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
1208C00000XColon & Rectal Surgery16857KENTUCKYYes

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
165932006MEDICAIDKENTUCKY
2CI5417MEDICARE PINKENTUCKY
3=========OTHERKENTUCKYTRICARE
41048817OTHERKENTUCKYPASSPORT
55968MEDICARE PINKENTUCKY
62432234000OTHERKENTUCKYPASSPORT ADVANTAGE

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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