1730182445 NPI number — RIVER CITY ORTHOPAEDIC SURGEONS PSC

Table of content: (NPI 1730182445)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730182445 NPI number — RIVER CITY ORTHOPAEDIC SURGEONS PSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RIVER CITY ORTHOPAEDIC SURGEONS PSC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
STONESTREET MEDICAL IMAGING
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730182445
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/07/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9300 STONESTREET RD
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40272-2876
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-271-4150
Provider Business Mailing Address Fax Number:
502-933-1024

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9300 STONESTREET RD
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40272-2876
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-271-4150
Provider Business Practice Location Address Fax Number:
502-933-1024
Provider Enumeration Date:
05/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
DOUGLAS
Authorized Official First Name:
MICHELLE
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALING MANAGER
Authorized Official Telephone Number:
502-403-1401

Provider Taxonomy Codes

  • Taxonomy code: 261QM1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 65922528 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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