Unknown Individual – Anesthesiology Physician, NPI 1144217365
Anesthesiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3101, Breckenridge Lane, Louisville, Jefferson County, Kentucky, 40220, United States
SUITE 1A
LOUISVILLE, KY 402202742
Phone: (502) 458-7400
Fax: (502) 458-7449
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40220)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | KY | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 25 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| - | KY | |
| - | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| - | KY | |
| - | KY | |
| - | KY | |
| - | KY | |
| - | KY | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
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