MEDICARE: ERNEST A EGGERS MD

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	207X00000X	Orthopaedic Surgery Physician	13895	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000045603	OTHER	ANTHEM
3	4012434	OTHER	AETNA
4	1850506001	OTHER	CIGNA

General Provider Information

NPI Number	:	1982695177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERNEST A EGGERS MD

Provider Business Mailing Address
First Line	:	4331 CHURCHMAN AVE
Second Line	:	STE 101
City	:	LOUISVILLE
State	:	KY
Zip	:	40215
Country	:	US
Telephone Number	:	502-364-0902
Fax Number	:	502-364-0099

Provider Business Practice Location Address
First Line	:	4331 CHURCHMAN AVE STE 101
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40215-1164
Country	:	US
Telephone Number	:	502-364-0902
Fax Number	:	502-364-0099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	01/11/2026

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Directions to “ ERNEST A EGGERS MD” Practice Location

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