MEDICARE: ASSOCIATES IN PLASTIC SURGERY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician	16318	KY
2	2086S0122X	Plastic and Reconstructive Surgery Physician	20642	KY
3	2086S0122X	Plastic and Reconstructive Surgery Physician	24697

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	000000044024	OTHER	ANTHEM
2	000000044026	OTHER	ANTHEM
3	000000044025	OTHER	ANTHEM

General Provider Information

NPI Number	:	1689700940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATES IN PLASTIC SURGERY, PLLC

Provider Business Mailing Address
First Line	:	6400 DUTCHMANS PKWY STE 205
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3343
Country	:	US
Telephone Number	:	502-895-5466
Fax Number	:	502-896-2137

Provider Business Practice Location Address
First Line	:	6400 DUTCHMANS PKWY STE 205
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3343
Country	:	US
Telephone Number	:	502-895-5466
Fax Number	:	502-896-2137

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. FRANK RYAN WERMELING
Credential	:	MD
Telephone Number	:	502-895-5466

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	05/15/2025

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