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MAXILLOFACIAL ONCOLOGIC DENTISTRY
NPI 1013041391
Special Hospital in Louisville, KY

Active since March 16, 2007CLIA Certified · 6 labs
529 S JACKSON ST, # 127, LOUISVILLE, KY 40202(502) 852-5747(502) 852-6132 Get Directions Write a Review

NPPES record last updated: September 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maxillofacial Oncologic Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXILLOFACIAL ONCOLOGIC DENTISTRY (NPI 1013041391) is a healthcare organization registered as a special hospital in Louisville, Kentucky and active in the NPI registry since March 2007. The organization holds 6 active CLIA laboratory certificates and lists Zafrulla Khan, Prosthodontics, as its authorized official.

NPPES Registry Identity

NPI1013041391
Entity TypeOrganization
Primary Taxonomy284300000X
Legal Business NameUNIVERSITY OF LOUISVILLE
Location Address529 S JACKSON ST, # 127Louisville, KY 40202-3229
Mailing Address529 S Jackson St, # 127Louisville, KY 40202-3229 · (502) 852-5747 · Fax (502) 852-6132
Phone(502) 852-5747
Fax(502) 852-6132
Organization SubpartNo
Authorized OfficialZafrulla KhanProsthodontics · (502) 852-5747
Enumeration DateMarch 16, 2007
Last NPPES UpdateSeptember 21, 2009
✔ NPI 1013041391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecial HospitalHospitals
Taxonomy Code284300000X
Definition
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.
529 S JACKSON ST, Louisville, KY 40202
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Other Names 1

Other NameMaxillofacial Oncologic Dentistry

Other Identifiers 11

Medicare PIN00600KY
Other775656KY · United Conn
Other000000175275KY · Anthem Bcbs
Other0003831KY · Passport
Other2438647000KY · Passport Advantage
Medicare UPINT83090KY
Other5651497KY · Aetna
Medicaid60050671KY
Other=========002KY · Health Net Tricare
Other100018200IN · Indiana Medicaid
Other190005666KY · Rr Medicare

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D1021751

University Of Louisville Clinical Trials Unit · Louisville, KY
Active · expires Feb 1, 2028
CLIA Number18D1021751
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorAngela S. Siegwald
Laboratory Phone(502) 813-6561
Laboratory LocationUniversity Of Louisville Clinical Trials Unit401 East Chestnut Street Suite 460, Louisville, KY 40202
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 18D0648480

University Of Louisville Infectious Diseases Laboratory · Louisville, KY
Active · expires Nov 16, 2027
CLIA Number18D0648480
Laboratory TypeIndependent
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorDr. Leslie A. Wolf
Laboratory Phone(502) 852-1152
Laboratory LocationUniversity Of Louisville Infectious Diseases Laboratory580 S Preston St Suite 102, Louisville, KY 40202
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 18D0991173

University Of Louisville Physicians Surgery · Louisville, KY
Active · expires Sep 12, 2027
CLIA Number18D0991173
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorDr. Charles Scoggins
Laboratory Phone(502) 588-8311
Laboratory LocationUniversity Of Louisville Physicians Surgery401 East Chestnut Street, Suite 710, Louisville, KY 40202
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 18D0648475

University Of Louisville Oral Pathology Lab · Louisville, KY
Active · expires Aug 18, 2027
CLIA Number18D0648475
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorDr. Brian Shumway
Laboratory Phone(502) 588-5654
Laboratory LocationUniversity Of Louisville Oral Pathology Lab501 S Preston St, Louisville, KY 40202
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 18D0666090

University Of Louisville Hospital · Louisville, KY
Active · expires Jun 13, 2027
CLIA Number18D0666090
Laboratory TypeHospital
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorDr. Mustafa Al-Kawaaz
Laboratory Phone(502) 562-3469
Laboratory LocationUniversity Of Louisville HospitalAttn James Mcgown 530 South Jackson Street, Louisville, KY 40202
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 18D0957825

University Of Louisville Physicians University Medical Associates · Louisville, KY
Active · expires Mar 2, 2027
CLIA Number18D0957825
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorMs. Eleanor Lederer
Laboratory Phone(502) 588-4520
Laboratory LocationUniversity Of Louisville Physicians University Medical Associates401 East Chestnut Street, Suite 310 Attn Medicine Clinic, Louisville, KY 40202
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMED HEGAZI MD
Internal Medicine (Hematology & Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-4270
ASHLEY VICTORIA ADKINS PHARMD
Pharmacist (Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-4673
JASMINE COLLINS PHARMD
Pharmacist (Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-4370
LAURA ELIZABETH JONES LCSW
Social Worker (Clinical)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 561-7313
DANIEL STEWART METZINGER M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
529 S JACKSON ST, BROWN CANCER CENTER
LOUISVILLE, KY 40202
Jefferson County (502) 561-7220
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
Radiology (Radiation Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 561-2700
MEGAN ELIZABETH BURD PHARMD
Pharmacist (Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 561-7423
PATRICIA ASHBY ARNP
Nurse Practitioner
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-4370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Of Louisville's NPI number?

The NPI number for University Of Louisville is 1013041391. It was assigned to this organization in the NPPES registry on March 16, 2007. The provider is also known as Maxillofacial Oncologic Dentistry.

Where is University Of Louisville located?

University Of Louisville is located at 529 S Jackson St # 127, Louisville, KY 40202. The listed phone number is (502) 852-5747.

What is University Of Louisville's specialty?

The primary specialty registered for this NPI is Special Hospital with taxonomy code 284300000X.

Does University Of Louisville hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for University Of Louisville was last updated on September 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.