Healthcare Provider Details

I. General information

NPI: 1932543048
Provider Name (Legal Business Name): NICHOLAS CHRISTIAN FOEGER M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 DUTCHMANS LN STE 300
LOUISVILLE KY
40207-4710
US

IV. Provider business mailing address

4130 DUTCHMANS LN STE 300
LOUISVILLE KY
40207-4710
US

V. Phone/Fax

Practice location:
  • Phone: 502-897-1794
  • Fax: 502-897-3852
Mailing address:
  • Phone: 502-897-1794
  • Fax: 502-897-3852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number54004
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number54004
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: