Chad A Wiesenauer in Louisville - Pediatric Surgery
Chad A Wiesenauer - NPI 1861616732
Chad A Wiesenauer is a Pediatric Surgery in Louisville, Kentucky. Chad A Wiesenauer practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Chad A Wiesenauer is 1861616732. The last update date is 2017-10-09.
Chad A Wiesenauer's current location address is 234 E Gray St, Louisville, Kentucky. You can contact this provider via phone number 5025880390 and fax number 5025845437. The mailing address for Chad A Wiesenauer is 234 E Gray St, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad A Wiesenauer |
|---|---|
| Address | 234 E Gray St, Louisville, Kentucky |
| Phone Number | 5025880390 |
| Fax Number | 5025845437 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861616732 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2017-10-09 |
Provider Mailing Address Detail
| Address | 234 E Gray St |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402021900 |
| Phone Number | 5025880390 |
| Fax Number | 5025845437 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 01053500A |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01053500A | IN | STATE LICENSE NUMBER | |
| 7100008600 | KY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Chad A Wiesenauer?
The Chad A Wiesenauer has been issued the NPI (National Provider Identifier) 1861616732 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Chad A Wiesenauer's facilities are situated?
The facilities of Chad A Wiesenauer are physically located at the following address: 234 E Gray St, Louisville, KY, 402021900.
What is Chad A Wiesenauer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Chad A Wiesenauer's specialized field of practice is Pediatric Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0120X.
When was the Chad A Wiesenauer's 1861616732 issued?
The Chad A Wiesenauer's 1861616732 was issued on 2007-04-12.
When was the information pertaining to Chad A Wiesenauer most recently updated or revised?
The details related to Chad A Wiesenauer, including its address, specialty, and other relevant information, were last updated or revised on 2017-10-09.
NPI Number: 1912900614
Address: 3558 Jefferson St N Ste 1, Lewisburg, WV