KENTUCKIANA COLON AND RECTAL SURGERY, PLLC
NPI 1619908613
Colon & Rectal Surgery in Louisville, KY

Active since July 06, 2006
4121 DUTCHMANS LN, SUITE 515, LOUISVILLE, KY 40207(502) 583-8005 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kentuckiana Colon And Rectal Surgery, Pllc NPPES

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

KENTUCKIANA COLON AND RECTAL SURGERY, PLLC (NPI 1619908613) is a healthcare organization registered as a colon & rectal surgery in Louisville, Kentucky and active in the NPI registry since July 2006. The organization lists Wayne Tuckson, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1619908613
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameKENTUCKIANA COLON AND RECTAL SURGERY, PLLC
Location Address4121 DUTCHMANS LN, SUITE 515Louisville, KY 40207-4737
Mailing Address4121 Dutchmans Ln, Suite 515Louisville, KY 40207-4737 · (502) 583-8005
Organization SubpartNo
Authorized OfficialWayne TucksonOwner/physician · (502) 583-8005
Enumeration DateJuly 6, 2006
Last NPPES UpdateAugust 13, 2008
NPI 1619908613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in KY · 30849
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedNurse PractitionerTaxonomy 363L00000X
4121 DUTCHMANS LN, Louisville, KY 40207

Other Identifiers 5

Medicaid65934739KY
OtherCK6017KY · Railroad Medicare
Medicare ID-Type Unspecified7129KY
Medicaid7100015770KY
Medicaid200323220AIN

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

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.

Obstetrics & Gynecology (Gynecology)
4121 DUTCHMANS LN, SUITE 101
LOUISVILLE, KY 40207
Obstetrics & Gynecology
4121 DUTCHMANS LN, SUITE 300
LOUISVILLE, KY 40207
Ophthalmology
4121 DUTCHMANS LN, SUITE 410
LOUISVILLE, KY 40207
Surgery
4121 DUTCHMANS LN, STE 503
LOUISVILLE, KY 40207
Obstetrics & Gynecology (Gynecology)
4121 DUTCHMANS LN, SUITE 300
LOUISVILLE, KY 40207
Physician Assistant
4121 DUTCHMANS LN, SUITE 606
LOUISVILLE, KY 40207
Plastic Surgery
4121 DUTCHMANS LN, SUITE 305
LOUISVILLE, KY 40207
Obstetrics & Gynecology
4121 DUTCHMANS LN, SUITE 401
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 Kentuckiana Colon And Rectal Surgery, PLLC's NPI number?

The NPI number for Kentuckiana Colon And Rectal Surgery, PLLC is 1619908613. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Kentuckiana Colon And Rectal Surgery, PLLC located?

Kentuckiana Colon And Rectal Surgery, PLLC is located at 4121 Dutchmans Ln Suite 515, Louisville, KY 40207. The listed phone number is (502) 583-8005.

What is Kentuckiana Colon And Rectal Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

When was this NPI record last updated?

The NPPES record for Kentuckiana Colon And Rectal Surgery, PLLC was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.