NPI Code Detail JSON Logo

1255657771 NPI number — LOUSVILLE UROGYNECOLOGY PLLC

NPI Number: 1255657771
Health Care Provider/Practitioner: LOUSVILLE UROGYNECOLOGY PLLC

Information about “1255657771” NPI (LOUSVILLE UROGYNECOLOGY PLLC) exists in 1255657771 in HTML format HTML  |  1255657771 in plain Text format TXT  |  1255657771 in PDF (Portable Document Format) PDF  |  1255657771 in an XML format XML  formats.

NPI Number : 1255657771 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255657771",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LOUSVILLE UROGYNECOLOGY PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 950188",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOUISVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40295-0188",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-895-0557",
    "MailingAddressFaxNumber": "502-895-0579",
    "FirstLinePracticeLocationAddress": "4121 DUTCHMANS LN",
    "SecondLinePracticeLocationAddress": "SUITE 401",
    "PracticeLocationAddressCityName": "LOUISVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40207-4707",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-895-0557",
    "PracticeLocationAddressFaxNumber": "502-895-0579",
    "EnumerationDate": "04/08/2010",
    "LastUpdateDate": "09/02/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HEIT",
    "AuthorizedOfficialFirstName": "MICHAEL",
    "AuthorizedOfficialMiddleName": "HOWARD",
    "AuthorizedOfficialTitle": "OWNER/PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D., PHD",
    "AuthorizedOfficialTelephoneNumber": "502-895-0557",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207VG0400X",
          "TaxonomyName": "Gynecology Physician",
          "LicenseNumber": "30391",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "30391",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.