Healthcare Provider Details

I. General information

NPI: 1134407331
Provider Name (Legal Business Name): SCOTT J. GIAIMO, DPM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2011
Last Update Date: 12/01/2023
Certification Date: 12/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 AUGUSTA AVE
FT WRIGHT KY
41011-3603
US

IV. Provider business mailing address

12910 SHELBYVILLE RD STE 300
LOUISVILLE KY
40243-2404
US

V. Phone/Fax

Practice location:
  • Phone: 248-528-1981
  • Fax: 248-528-2963
Mailing address:
  • Phone: 502-244-2420
  • Fax: 502-996-8282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID S HUNTSMAN
Title or Position: OWNER
Credential: DPM
Phone: 502-244-2420