JACK GERUGHTY MD
NPI 1083795355
Emergency Medicine in Louisville, KY

Active since October 17, 2006
4000 KRESGE WAY, LOUISVILLE, KY 40207(502) 899-7646 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack Gerughty Md NPPES

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

JACK GERUGHTY MD (NPI 1083795355) is an individual emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (24682) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1083795355
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACK GERUGHTYCredential: MD
Location Address4000 KRESGE WAYLouisville, KY 40207-4605
Mailing AddressPo Box 6749Louisville, KY 40206-0749 · (502) 899-7646 · Fax (502) 899-7648
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateDecember 18, 2015
NPI 1083795355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in KY · 24682
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4000 KRESGE WAY, Louisville, KY 40207

Other Identifiers 2

Other000000049533KY · Blue Cross Facets Id
Medicare UPINC68401KY

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.

Physician Assistant
4000 KRESGE WAY
LOUISVILLE, KY 40207
Nurse Anesthetist, Certified Registered
4000 KRESGE WAY
LOUISVILLE, KY 40207
Nurse Anesthetist, Certified Registered
4000 KRESGE WAY
LOUISVILLE, KY 40207
Anesthesiology
4000 KRESGE WAY
LOUISVILLE, KY 40207
Pathology (Anatomic Pathology & Clinical Pathology)
4000 KRESGE WAY, PATHOLOGY DEPT
LOUISVILLE, KY 40207
Nurse Practitioner (Acute Care)
4000 KRESGE WAY
LOUISVILLE, KY 40207
Physician Assistant
4000 KRESGE WAY
LOUISVILLE, KY 40207
Internal Medicine
4000 KRESGE WAY, BAPTIST EAST WOUND CARE CENTER
LOUISVILLE, KY 40207

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 Jack Gerughty's NPI number?

The NPI number for Jack Gerughty is 1083795355. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Jack Gerughty located?

Jack Gerughty practices at 4000 Kresge Way, Louisville, KY 40207. The listed phone number is (502) 899-7646.

What is Jack Gerughty's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Jack Gerughty was last updated on December 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.