Mark O Gladstein Md Pllc

LBN: Mark O Gladstein Md Pllc
Mark O Gladstein Md Pllc is an health care organization with primary practice located at 250 E Liberty St Suite 1005, Louisville KY 40202-1538. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Mark O Gladstein Md Pllc can be contacted via phone (502) 589-4448, or through Gladstein, Mark O via phone (502) 589-4448.

Contact Information

Primary practice address
250 E Liberty St Suite 1005 Louisville KY 40202-1538
Phone: (502) 589-4448
Fax: (502) 589-1209
Website:
Map and Directions
Authorized official contact:
Name: Gladstein, Mark O Doctor of Medicine (MD)
Phone: (502) 589-4448

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1710102629
LBN Legal business name Mark O Gladstein Md Pllc
DBA Doing business as
Authorized official Gladstein, Mark O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Dec 23rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710102629 NPPES
Other 20041432 RR MEDICARE
MEDICAID 50009936 RR MEDICARE
MEDICAID 64144546 RR MEDICARE
MEDICAID 9001304600 RR MEDICARE
MEDICAID 1059292 RR MEDICARE

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