Healthcare Provider Details

I. General information

NPI: 1578773487
Provider Name (Legal Business Name): MICHAEL THOMAS SWEENEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 SOUTH LIMESTONE UNIVERSITY OF KENTUCKY DEPARTMENT OF EMERGENCY MEDICINE
LEXINGTON KY
40536
US

IV. Provider business mailing address

1000 SOUTH LIMESTONE UNIVERSITY OF KENTUCKY DEPARTMENT OF EMERGENCY MEDICINE
LEXINGTON KY
40536
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-5908
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number47625
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number47625
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: