Kentuckiana Foot & Ankle Sports Medicine

LBN: Specialty Orthopaedics Psc
Kentuckiana Foot & Ankle Sports Medicine is an health care organization with primary practice located at 6400 Dutchmans Pkwy Suite 215, Louisville KY 40205-3340. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Specialty Orthopaedics Psc can be contacted via phone (502) 721-8288, or through Gabriel, Thomas Matthew via phone (502) 721-8288.

Contact Information

Primary practice address
6400 Dutchmans Pkwy Suite 215 Louisville KY 40205-3340
Phone: (502) 721-8288
Fax: (502) 721-8792
Website:
Map and Directions
Authorized official contact:
Name: Gabriel, Thomas Matthew Doctor of Medicine (MD)
Phone: (502) 721-8288

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00251 Kentucky
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1346305430
LBN Legal business name Specialty Orthopaedics Psc
DBA Doing business as Kentuckiana Foot & Ankle Sports Medicine
Authorized official Gabriel, Thomas Matthew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated May 2nd, 2008 - about 16 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 1346305430 NPPES
Kentucky Other 80900293 GRP PODIATRY MEDICAID

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