LOUISVILLE SURGICAL ASSOCIATES, PSC
NPI 1770575516
Surgery in Louisville, KY

Q: What is Louisville Surgical Associates, Psc's NPI number?

The NPI number for Louisville Surgical Associates, Psc is 1770575516. It was assigned to this organization in the NPPES registry on August 18, 2005.

Q: What is Louisville Surgical Associates, Psc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since August 18, 2005

4402 CHURCHMAN AVE, SUITE 202, LOUISVILLE, KY 40215(502) 366-1090(502) 366-1564 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Louisville Surgical Associates, Psc NPPES

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

LOUISVILLE SURGICAL ASSOCIATES, PSC (NPI 1770575516) is a healthcare organization registered as a surgery in Louisville, Kentucky and active in the NPI registry since August 2005. The organization lists Terri L Willett, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770575516

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameLOUISVILLE SURGICAL ASSOCIATES, PSC

Location Address4402 CHURCHMAN AVE, SUITE 202Louisville, KY 40215-1190

Mailing Address4402 Churchman Ave, Suite 202Louisville, KY 40215-1190 · (502) 366-1090 · Fax (502) 366-1564

Phone(502) 366-1090

Fax(502) 366-1564

Organization SubpartNo

Authorized OfficialTerri L WillettOffice Manager · (502) 366-1090

Enumeration DateAugust 18, 2005

Last NPPES UpdateOctober 21, 2010

✔ NPI 1770575516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4402 CHURCHMAN AVE, Louisville, KY 40215

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Other Identifiers 5

Other000000060149KY · Anthem

Medicare ID-Type Unspecified2586KY

Medicaid65920985KY

Other1049011KY · Passport

OtherCN1016KY · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

TRICIA L. FLAKE ARNP

Nurse Practitioner (Family)

4402 CHURCHMAN AVE, SUITE 410
LOUISVILLE, KY 40215

Jefferson County (502) 367-6322

DR. JOHN N OLSOFKA M.D.

Surgery

4402 CHURCHMAN AVE, STE 202
LOUISVILLE, KY 40215

Jefferson County (502) 366-1090

DR. JOSEPH CORBETT MARSHALL MD

Surgery

4402 CHURCHMAN AVE
LOUISVILLE, KY 40215

Jefferson County (502) 361-6075

DR. ARUL VERGHIS MD

Anesthesiology (Pain Medicine)

4402 CHURCHMAN AVE, SUITE 302
LOUISVILLE, KY 40215

Jefferson County (502) 366-7317

KEVIN L HARRELD MD

Orthopaedic Surgery

4402 CHURCHMAN AVE, SUITE 300
LOUISVILLE, KY 40215

Jefferson County (502) 363-0588

LOUISVILLE & SO INDIANA PULMONARY CARE PLC

Internal Medicine (Pulmonary Disease)

4402 CHURCHMAN AVE, SUITE 409
LOUISVILLE, KY 40215

Jefferson County (502) 368-9590

JULIA K PROHASKA PA

Physician Assistant

4402 CHURCHMAN AVE, SUITE 300
LOUISVILLE, KY 40215

Jefferson County (502) 363-0588

RONALD PETER MOYER MD

Allergy & Immunology

4402 CHURCHMAN AVE
LOUISVILLE, KY 40215

Jefferson County (502) 361-9935

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 Louisville Surgical Associates, Psc's NPI number?

The NPI number for Louisville Surgical Associates, Psc is 1770575516. It was assigned to this organization in the NPPES registry on August 18, 2005.

Where is Louisville Surgical Associates, Psc located?

Louisville Surgical Associates, Psc is located at 4402 Churchman Ave Suite 202, Louisville, KY 40215. The listed phone number is (502) 366-1090.

What is Louisville Surgical Associates, Psc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Louisville Surgical Associates, Psc was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.