Healthcare Provider Details

I. General information

NPI: 1831150002
Provider Name (Legal Business Name): CHRISTOPHER F TIROTTA MD, MBA, FASA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 E CHESTNUT ST
LOUISVILLE KY
40202-1821
US

IV. Provider business mailing address

3168 INVERNESS
WESTON FL
33332-1816
US

V. Phone/Fax

Practice location:
  • Phone: 502-629-6000
  • Fax: 502-451-4553
Mailing address:
  • Phone: 954-683-1468
  • Fax: 954-665-2820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME51023
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberE-16816
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberE-16816
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number042.0018514-COMP
License Number StateVT
# 5
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberMD487616
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberME51023
License Number StateFL
# 7
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberC3893
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: