1669479937 NPI number — DR. ANTHONY R SEHLINGER M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669479937 NPI number — DR. ANTHONY R SEHLINGER M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

SEHLINGER

Provider First Name:

ANTHONY

Provider Middle Name:

R

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

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:

1669479937

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

08/03/2020

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

126 N BIRCHWOOD AVE

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:

40206-1522

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

502-895-1884

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

2230 EDSEL LN NW STE 1

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

CORYDON

Provider Business Practice Location Address State Name:

IN

Provider Business Practice Location Address Postal Code:

47112-2136

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

812-734-0303

Provider Business Practice Location Address Fax Number:

812-225-5145

Provider Enumeration Date:

07/01/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207L00000X , with the licence number:  01038852A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 208VP0014X , with the licence number: 01038852A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 1392787 . This is a "UMWA" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 16363600 . This is a "DOL" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 2163946 . This is a "FIRSTHEALTH" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 000000319094 . This is a "ANTHEM" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 611142277 . This is a "CORVEL" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 611142277 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 611142277 . This is a "BLUEGRASS FAMILY HEALTH" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 664274020 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
• Identifier: K010972 . This is a "CHAMPUS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 611142277D . This is a "HUMANA" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".