A Bert Sparrow Psc in Louisville - Surgery

A Bert Sparrow Psc - NPI 1942230578

A Bert Sparrow Psc is a Surgery in Louisville, Kentucky. A Bert Sparrow Psc practices all healthcare services and medical treatments related to Surgery. The NPI Number for A Bert Sparrow Psc is 1942230578. The last update date is 2008-04-24.

A Bert Sparrow Psc's current location address is 4402 Churchman Ave, Louisville, Kentucky. You can contact this provider via phone number 5023616075 and fax number 5023616071. The mailing address for A Bert Sparrow Psc is 4402 Churchman Ave, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization A Bert Sparrow Psc
Address 4402 Churchman Ave, Louisville, Kentucky
Phone Number 5023616075
Fax Number 5023616071
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Sparrow Bert Athel
Credentials M.D.
Telephone Number 5023616075

NPI Number Detail

NPI Number 1942230578
Provider Enumeration Date 2006-07-03
Last Updated Date 2008-04-24

Provider Mailing Address Detail

Address 4402 Churchman Ave
City Louisville
State Kentucky (KY)
Post Code 402153100
Phone Number 5023616075
Fax Number 5023616071

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 13980
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;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22087143 KY RAILROAD MEDICARE
1048991 KY PASSPORT
45552 BLUE CROSS BLUE SHIELD
65934580 KY --
100003430 A IN --
2432327000 KY PASSPORT ADVANTAGE

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FAQs about A Bert Sparrow Psc

What is the unique identifier code issued to A Bert Sparrow Psc by the Centers for Medicare & Medicaid Services?

The A Bert Sparrow Psc has been assigned the NPI (National Provider Identifier) 1942230578. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of A Bert Sparrow Psc?

The A Bert Sparrow Psc is physically situated at 4402 Churchman Ave, in the city of Louisville, state of KY, with the postal code 402153100.

What is the A Bert Sparrow Psc's specialty and taxonomy code?

The A Bert Sparrow Psc's specialty is Surgery, and the corresponding taxonomy code is 208600000X.

When was the A Bert Sparrow Psc's 1942230578 issued?

The A Bert Sparrow Psc's 1942230578 was issued on 2006-07-03.

As of what date were the details related to A Bert Sparrow Psc most recently updated or revised?

The information pertaining to A Bert Sparrow Psc, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-24.

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