SPORTS MEDICINE SURGICAL SPECIALISTS PLLC (NPI# 1821651852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821651852 |
| Entity Type | Organization |
| Organization Name | SPORTS MEDICINE SURGICAL SPECIALISTS PLLC |
| Other Organization Name | ACHILLES FOOT AND ANKLE |
| Practice Address |
309 Guthrie St Louisville KY 40202-1813 |
| Mailing Address |
6400 Dutchmans Pkwy Ste 215 Louisville KY 40205-3343 |
| Practice Telephone | 5027218288 |
| Practice Fax Number | 5027218792 |
| Mailing Telephone | 5027218288 |
| Mailing Fax Number | 5027218792 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-05-09 |
| Authorized Official Name | KEITH WELLINGTON MYRICK (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5027218288 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Achilles Foot and Ankle | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689070559 | Sports Medicine Surgical Specialists Pllc | Durable Medical Equipment & Medical Supplies | 1263 Hospital Dr Nw, Suite 105, Corydon, IN 47112-2172 | 2014-11-05 |
| Street Address |
309 GUTHRIE ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1813 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029254 | Vizions Mobility LLC | Durable Medical Equipment & Medical Supplies | 14111 Spring Mill Rd, Louisville, KY 40245-7490 | 2020-09-30 |
| 1538797097 | Amc Health Kentucky Inc | Durable Medical Equipment & Medical Supplies | 8053 Warwick Ave, Louisville, KY 40222-4419 | 2020-03-31 |
| 1477187920 | Ellis & Badenhausen Orthopaedics, Psc | Durable Medical Equipment & Medical Supplies | 6768 Bardstown Rd, Louisville, KY 40291-3048 | 2020-02-24 |
| 1083245542 | Dr Syed A Khader Pllc | Durable Medical Equipment & Medical Supplies | 4644 Chamberlain Ln, Louisville, KY 40241-1160 | 2020-02-03 |
| 1548891765 | Val Luckyan | Durable Medical Equipment & Medical Supplies | 310 E Broadway Ste 120, Louisville, KY 40202-1745 | 2020-01-27 |
| 1700425816 | New Source Medical, LLC | Durable Medical Equipment & Medical Supplies | 9913 Shelbyville Rd Ste 203, Louisville, KY 40223-2907 | 2020-01-06 |
| 1184275323 | Curetech Usa, Inc | Durable Medical Equipment & Medical Supplies | 125 S Bayly Ave, Louisville, KY 40206-2502 | 2019-09-27 |
| 1639726664 | Dasco Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 12406 La Grange Rd, Louisville, KY 40245-1901 | 2019-08-23 |
| 1518529460 | Strive Medical, LLC | Durable Medical Equipment & Medical Supplies | 700 Executive Park Ste 723, Louisville, KY 40207-4207 | 2019-07-01 |
| 1790247823 | Sarah Chinelle Garmany | Durable Medical Equipment & Medical Supplies | 1901 Hazelwood Ct, Louisville, KY 40214-1255 | 2019-04-06 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on SPORTS MEDICINE SURGICAL SPECIALISTS PLLC.
| 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.