Healthcare Provider Details

I. General information

NPI: 1699844910
Provider Name (Legal Business Name): BIRKHEAD, ECKMAN & SCHARF, P.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4003 KRESGE WAY STE 115
LOUISVILLE KY
40207-4652
US

IV. Provider business mailing address

PO BOX 4667 801 BARRET AVE., SUITE 106
LOUISVILLE KY
40204-0667
US

V. Phone/Fax

Practice location:
  • Phone: 502-897-8163
  • Fax: 502-897-8052
Mailing address:
  • Phone: 502-589-4421
  • Fax: 502-589-5887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BEN M. BIRKHEAD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 502-589-4421