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Contact Information

UNIVERSITY PHYSICIAN ASSOCIATES
550 S JACKSON ST
2ND FLOOR
LOUISVILLE, KY40202-1622
 Phone: 502-562-6511
 Fax: 502-562-6512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for UNIVERSITY PHYSICIAN ASSOCIATES

NPI Number 1942232905
LBN Legal business name UNIVERSITY PHYSICIAN ASSOCIATES
Authorized official PAM ANDERSON - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2006
Last updated 05/19/2010 - About 16 years ago
Identifiers
KY Medicaid 31000102
Other 0000000552733 ANTHEM
KY Other 50006485 PASSPORT HEALTH PLAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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