Healthcare Provider Details

I. General information

NPI: 1528093762
Provider Name (Legal Business Name): POMEROY & RHOADS ORTHOPEDICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6641 DIXIE HWY
LOUISVILLE KY
40258-3909
US

IV. Provider business mailing address

6641 DIXIE HWY
LOUISVILLE KY
40258-3909
US

V. Phone/Fax

Practice location:
  • Phone: 502-364-0902
  • Fax: 502-364-0099
Mailing address:
  • Phone: 502-364-0902
  • Fax: 502-364-0099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID RHOADS
Title or Position: PARTNER
Credential: MD
Phone: 502-364-0902