Provider Type Icon

DAVID A DAGEFORDE MD NPI 1902833627


NPI Information

NPI: 1902833627
Provider Name: DAVID A DAGEFORDE, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
3901 DUTCHMANS LN STE 101
LOUISVILLE, KY
ZIP 40207
Phone: (502) 896-2120
Get Directions

David A Dageforde, MD is a cardiovascular disease internal medicine in Louisville, KY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. David A Dageforde, MD NPI is 1902833627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3901 DUTCHMANS LN STE 101
LOUISVILLE, KY
ZIP 40207-726
Phone: (502) 896-2120
Fax: (502) 896-2110

The NPI 1902833627 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 6/27/2006 and was last updated on 5/4/2021.


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
1207RC0000XInternal MedicineCardiovascular Disease20071KENTUCKYYes

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
10203578000OTHERKENTUCKYPASSPORT ADVANAGE PIN
2060018530OTHERKENTUCKYRAILROAD MEDICARE PIN
3000000044911OTHERKENTUCKYANTHEM PIN
4000000693027OTHERKENTUCKYANTHEM - NCVA
51056110OTHERKENTUCKYPASSPORT PIN
6P00889587OTHERKENTUCKYMEDICARE RR - NCVA
7100388760AMEDICAIDINDIANA
8000057080COTHERKENTUCKYHUMANA - NCVA
950031154OTHERKENTUCKYPASSPORT & PASSPORT ADVTG - NCVA
1064200710MEDICAIDKENTUCKY
11100388760FMEDICAIDINDIANA

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

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.