SUSAN B TATE MD PA
NPI 1205252426
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Louisville, KY

Q: What is Susan B Tate MD PA's NPI number?

The NPI number for Susan B Tate MD PA is 1205252426. It was assigned to this organization in the NPPES registry on March 12, 2014.

Q: What is Susan B Tate MD PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Active since March 12, 2014

2934 BRECKENRIDGE LN, SUITE 2, LOUISVILLE, KY 40220(502) 454-7871(502) 454-7872 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Susan B Tate Md Pa NPPES

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

SUSAN B TATE MD PA (NPI 1205252426) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Louisville, Kentucky and active in the NPI registry since March 2014. The organization lists Susan B Tate, Owner, as its authorized official.

NPPES Registry Identity

NPI1205252426

Entity TypeOrganization

Primary Taxonomy207VF0040X

Legal Business NameSUSAN B TATE MD PA

Location Address2934 BRECKENRIDGE LN, SUITE 2Louisville, KY 40220-3903

Mailing Address2934 Breckenridge Ln, Suite 2Louisville, KY 40220-3903 · (502) 454-7871 · Fax (502) 454-7872

Phone(502) 454-7871

Fax(502) 454-7872

Organization SubpartNo

Authorized OfficialSusan B TateOwner · (502) 454-7871

Enumeration DateMarch 12, 2014

✔ NPI 1205252426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in KY · 39021

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

2934 BRECKENRIDGE LN, Louisville, KY 40220

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Other Identifiers 2

Medicare PINK035311KY

Medicaid64084148KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Susan B Tate MD PA's NPI number?

The NPI number for Susan B Tate MD PA is 1205252426. It was assigned to this organization in the NPPES registry on March 12, 2014.

Where is Susan B Tate MD PA located?

Susan B Tate MD PA is located at 2934 Breckenridge Ln Suite 2, Louisville, KY 40220. The listed phone number is (502) 454-7871.

What is Susan B Tate MD PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

When was this NPI record last updated?

The NPPES record for Susan B Tate MD PA was last updated on March 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.