Mark S. Jorrisch, M.D.
Internal Medicine in Louisville, KY. Individual provider (NPI-1).
NPI number1104881994
StatusActive
Last updated in NPPESAug 16, 2013
Details
- NPI
- 1104881994
- Entity type
- Individual (NPI-1)
- Name
- Mark S. Jorrisch
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2006
- Last updated
- Aug 16, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 20691 | KY | Yes |
Practice location
3920 Dutchmans LnSuite 315
Louisville, KY 40207-4702
Phone 502-899-4177 · Fax 502-259-6900
Mailing address
6801 Dixie HwySte 130
Louisville, KY 40258-3913
Phone 502-899-4177 · Fax 502-259-6900
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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