UNIVERSITY FOOT AND ANKLE CENTER LLC NPI 1760560015

NPI Information

NPI: 1760560015
Provider Name: UNIVERSITY FOOT AND ANKLE CENTER LLC

Doing Business As: LOUISVILLE FOOT AND ANKLE SPECIALISTS

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
3 AUDUBON PLAZA DR STE 320
LOUISVILLE, KY
ZIP 40217
Phone: (502) 893-1844
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UNIVERSITY FOOT AND ANKLE CENTER LLC is a podiatric clinic center in Louisville, KY. UNIVERSITY FOOT AND ANKLE CENTER LLC NPI is 1760560015. The provider is registered as an organization entity type.
The provider Is Doing Business As Louisville Foot And Ankle Specialists.

The provider's business location address is:

3 AUDUBON PLAZA DR STE 320
LOUISVILLE, KY
ZIP 40217-319
Phone: (502) 893-1844

The provider's authorized official is Thomas Wayne Childress .
The authorized official title is Owner and has the following contact phone number (502) 893-1844.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 2/4/2020.

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	261QP1100X	Clinic/Center	Podiatric	00209	KENTUCKY	Yes
2	332B00000X	Durable Medical Equipment & Medical Supplies				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	7100439680	MEDICAID	KENTUCKY
2	7100000180	MEDICAID	KENTUCKY

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

NPI Synchronization or Removal

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