UNIVERSITY OF LOUISVILLE (NPI# 1013041391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013041391 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF LOUISVILLE |
| Other Organization Name | MAXILLOFACIAL ONCOLOGIC DENTISTRY |
| Practice Address |
529 S Jackson St # 127 Louisville KY 40202-3229 |
| Practice Telephone | 5028525747 |
| Practice Fax Number | 5028526132 |
| Mailing Telephone | 5028525747 |
| Mailing Fax Number | 5028526132 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-09-21 |
| Authorized Official Name | DR. ZAFRULLA KHAN (PROSTHODONTICS) |
| Authorized Official Telephone | 5028525747 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT | 0003831 | 01 |
| IN | INDIANA MEDICAID | 100018200 | 01 |
| KY | RR MEDICARE | 190005666 | 01 |
| KY | AETNA | 5651497 | 01 |
| KY | ANTHEM BCBS | 000000175275 | 01 |
| KY | PASSPORT ADVANTAGE | 2438647000 | 01 |
| KY | 60050671 | 05 | |
| KY | UNITED CONN | 775656 | 01 |
| Other Name | Type Code |
|---|---|
| Maxillofacial Oncologic Dentistry | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912188541 | University of Louisville | Clinical Medical Laboratory | 501 South Preston Street, Louisville, KY 40292-0001 | 2007-11-26 |
| 1336644350 | University of Louisville | Nurse Practitioner | 501 S Preston St, Louisville, KY 40202-1701 | 2018-03-30 |
| 1659807881 | University of Louisville | Pediatrics | 601 S Floyd St, Ste 403, Louisville, KY 40202-1835 | 2017-05-09 |
| 1679927529 | University of Louisville | General Acute Care Hospital | 530 S. Jackson Street, Department of Anesthesiology, Louisville, KY 40202-1675 | 2016-04-18 |
| 1508007808 | University of Louisville | General Acute Care Hospital | 530 S Jackson St, Louisville, KY 40202-1675 | 2009-03-16 |
| 1528209350 | University of Louisville | Pediatrics | 555 S Floyd St, Louisville, KY 40202-3822 | 2009-03-06 |
| 1255416731 | University of Louisville | Clinical Medical Laboratory | 500 S Preston St, Room 1319, Louisville, KY 40202-1702 | 2006-10-25 |
| 1861413098 | University of Louisville | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2006-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF LOUISVILLE | 2301 S 3rd St, Louisville, KY 40208-1838 |
| System for Award Management (SAM) Entities | UNIVERSITY OF LOUISVILLE HOSPITAL | 530 S Jackson St, Louisville, KY 40202-1675 |
| Indiana Business Entities | UNIVERSITY OF LOUISVILLE NEUROSURGICAL FACULTY GROUP, PLLC | 201 Loganberry Court, Louisville, KY 40207 |
| System for Award Management (SAM) Entities | UNIVERSITY OF LOUISVILLE PANAMA | Calle 45 Bella Vista, Panama, PANAMA 08330152, PAN |
| System for Award Management (SAM) Entities | UNIVERSITY OF LOUISVILLE-PANAMA FOUNDATION | Calle 45, Bella Vista, Panama, PANAMA, PAN |
| Street Address |
529 S JACKSON ST # 127 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-3229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871593293 | Molecular Pathology Services of The Henry Vogt Cancer Research Inst | Clinical Medical Laboratory | 529 S Jackson St, Ste 417, Louisville, KY 40202-3229 | 2005-07-28 |
| 1386257129 | Mary Angela Malone | Clinical Nurse Specialist | 529 S Jackson St, Louisville, KY 40202-3229 | 2020-08-30 |
| 1285247320 | Samantha L Reed | Dietitian, Registered | 529 S Jackson St, Louisville, KY 40202-3229 | 2020-08-28 |
| 1992317812 | Abigail R Smith | Dietitian, Registered | 529 S Jackson St, Louisville, KY 40202-3229 | 2020-08-21 |
| 1053880534 | Laura Elizabeth Jones | Social Worker | 529 S Jackson St, Louisville, KY 40202-3229 | 2018-11-14 |
| 1104311711 | Sara Elizabeth Rueff | Nurse Practitioner | 529 S Jackson St, Louisville, KY 40202-3229 | 2018-06-26 |
| 1861997215 | Adam Robert Cavender | Student in an Organized Health Care Education/Training Program | 529 S Jackson St, Louisville, KY 40202-3229 | 2018-03-28 |
| 1215450119 | Vatsala Katiyar | Internal Medicine | 529 S Jackson St, Louisville, KY 40202-3229 | 2017-07-23 |
| 1225567233 | Talha Aijaz | Internal Medicine | 529 S Jackson St, Louisville, KY 40202-3229 | 2017-06-05 |
| 1134651599 | Grant W Mckenzie | Radiology | 529 S Jackson St, Louisville, KY 40202-3229 | 2017-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932353240 | Sizhe Li | Special Hospital | 530 S Jackson St, Louisville, KY 40202-1675 | 2008-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568807360 | Elk Creek Animal Hospital | Special Hospital | 57 Commerce Dr, Fisherville, KY 40023-6412 | 2013-05-07 |
| 1801101258 | Eyecare, Inc | Special Hospital | 6675 Roberts Rd, Robards, KY 42452-9772 | 2010-08-10 |
| 1073986618 | Saint Joseph Health System Inc. | Special Hospital | 1 Saint Joseph Dr, Lexington, KY 40504-3742 | 2015-11-04 |
| 1396954558 | Chester M Tylkowski | Special Hospital | 1900 Richmond Rd, Lexington, KY 40502-1204 | 2007-05-22 |
| City | LOUISVILLE |
| Zip Code | 40202 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.