MARY ENG MD NPI 1710940879

NPI Information

NPI: 1710940879
Provider Name: MARY ENG, MD
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual

PECOS Registration: Yes

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

Mary Eng, MD is a transplant surgery in Louisville, KY with 28 years of experience. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee Mary Eng, MD NPI is 1710940879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:1996

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 NPI 1710940879 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 4/10/2006 and was last updated on 12/16/2016.

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
1	204F00000X	Transplant Surgery		40081	KENTUCKY	Yes
2	208600000X	Surgery		40081	KENTUCKY	No

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
1	687836	MEDICARE PIN	KENTUCKY
2	H88623	MEDICARE UPIN
3	64123698	MEDICAID	KENTUCKY
4	50012240	OTHER	KENTUCKY	PASSPORT
5	200858590	MEDICAID	INDIANA

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

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