1396889978 NPI number — MS. FELICIA GAIL CATRON CFA

Table of content: LEAH M WELTY MD (NPI 1740570209)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396889978 NPI number — MS. FELICIA GAIL CATRON CFA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CATRON
Provider First Name:
FELICIA
Provider Middle Name:
GAIL
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CFA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BOGAR
Provider Other First Name:
FELICIA
Provider Other Middle Name:
GAIL
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CFA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1396889978
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/18/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 950248
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40295-0248
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-253-1035
Provider Business Mailing Address Fax Number:
502-253-1037

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3900 KRESGE WAY
Provider Second Line Business Practice Location Address:
SUITE 51
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40207-4660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-259-5955
Provider Business Practice Location Address Fax Number:
502-259-5953
Provider Enumeration Date:
02/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 246ZC0007X , with the licence number:  SA146 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000000602589 . This is a "ANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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