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KENTUCKIANA FOOT AND ANKLE SPORTS MEDICINE
NPI 1689070559
Podiatrist - Foot & Ankle Surgery in Louisville, KY

Active since November 05, 2014
6400 DUTCHMANS PKWY STE 215, LOUISVILLE, KY 40205(502) 721-8288(502) 721-8792 Get Directions Write a Review

NPPES record last updated: December 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2021, Jun 2, 2021, Nov 7, 2016 and 1 more (4 updates tracked since 2016).

About Kentuckiana Foot And Ankle Sports Medicine NPPES

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

KENTUCKIANA FOOT AND ANKLE SPORTS MEDICINE (NPI 1689070559) is a healthcare organization registered as a foot & ankle surgery in Louisville, Kentucky and active in the NPI registry since November 2014. The organization maintains 2 additional practice locations and lists Keith Wellington Myrick, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1689070559
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSPORTS MEDICINE SURGICAL SPECIALISTS PLLC
Location Address6400 DUTCHMANS PKWY STE 215Louisville, KY 40205-3343
Mailing Address6400 Dutchmans Pkwy, # 215Louisville, KY 40205-3340 · (502) 721-8288 · Fax (502) 721-8792
Phone(502) 721-8288
Fax(502) 721-8792
Organization SubpartNo
Authorized OfficialKeith Wellington MyrickSole Owner · (502) 721-8288
Enumeration DateNovember 5, 2014
Last NPPES UpdateDecember 5, 20214 updates tracked since enumeration
NPPES CertifiedDecember 5, 2021
✔ NPI 1689070559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
6400 DUTCHMANS PKWY STE 215, Louisville, KY 40205
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Other Names 1

Doing Business AsKentuckiana Foot And Ankle Sports Medicine

Secondary Practice Locations 2

Location 1210 E Gray St Ste 820Louisville, KY 40202-3900 · Phone (502) 585-3668 · Fax (502) 585-3662
Location 2200 Missouri Ave Ste AJeffersonville, IN 47130-3014 · Phone (812) 920-0055 · Fax (812) 920-0060

Other Identifiers 1

Medicaid7100333220KY

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

DR. THOMAS WAYNE CHILDRESS JR. D.P.M
Podiatrist
6400 DUTCHMANS PKWY STE 215
LOUISVILLE, KY 40205
Jefferson County (502) 721-8288
DR THOMAS CHILDRESS LLC
Durable Medical Equipment & Medical Supplies
6400 DUTCHMANS PKWY STE 215
LOUISVILLE, KY 40205
Jefferson County (502) 721-8288
DR THOMAS CHILDRESS LLC
Podiatrist
6400 DUTCHMANS PKWY STE 215
LOUISVILLE, KY 40205
Jefferson County (502) 916-3129
SPORTS MEDICINE SURGICAL SPECIALISTS PLLC
Durable Medical Equipment & Medical Supplies
6400 DUTCHMANS PKWY STE 215
LOUISVILLE, KY 40205
Jefferson County (502) 721-8288

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 Sports Medicine Surgical Specialists PLLC's NPI number?

The NPI number for Sports Medicine Surgical Specialists PLLC is 1689070559. It was assigned to this organization in the NPPES registry on November 5, 2014. The provider is doing business as Kentuckiana Foot And Ankle Sports Medicine.

Where is Sports Medicine Surgical Specialists PLLC located?

Sports Medicine Surgical Specialists PLLC is located at 6400 Dutchmans Pkwy Ste 215, Louisville, KY 40205. The listed phone number is (502) 721-8288.

What is Sports Medicine Surgical Specialists PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does Sports Medicine Surgical Specialists PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Sports Medicine Surgical Specialists PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sports Medicine Surgical Specialists PLLC was last updated on December 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.