UPA NEUROSURGERY NPI 1669758975

NPI Information

  • NPI: 1669758975
  • Provider Name: UPA NEUROSURGERY
  • Classification: Neurological Surgery - 207T00000X
  • Entity Type: Organization
  • Address: 550 S JACKSON ST
    1ST FLOOR
    LOUISVILLE, KY
    ZIP 40202
  • Phone: (502) 562-6501

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NPI Details

UPA NEUROSURGERY is a neurological surgery in Louisville, KY. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. UPA NEUROSURGERY NPI is 1669758975. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

550 S JACKSON ST
1ST FLOOR
LOUISVILLE, KY
ZIP 40202-622
Phone: (502) 562-6501
Fax: (502) 562-6502

The provider's authorized official is Thomas Kelly .
The authorized official title is Vp Of Operations and has the following contact phone number (502) 217-5120.

The enumeration date for this NPI number is 11/1/2011 and was last updated on 11/1/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207T00000XNeurological 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
131000102MEDICAIDKENTUCKY
27661MEDICARE PINKENTUCKY

What is NPI?

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This page was last updated on: 3/30/2025

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