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Orthopaedic Specialists PLLC

Specialist in Louisville, KY. Organization (NPI-2).

NPI number1124136254
StatusActive
Last updated in NPPESDec 6, 2012

Details

NPI
1124136254
Entity type
Organization (NPI-2)
Legal business name
Orthopaedic Specialists PLLC
Organization subpart
No
Enumeration date
Aug 28, 2006
Last updated
Dec 6, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist33575KYYes

Practice location

4001 Kresge Way
Suite 330
Louisville, KY 40207-4640

Phone 502-212-2663 · Fax 502-212-2004

Mailing address

4001 Kresge Way
Suite 330
Louisville, KY 40207-4652

Phone 502-212-2663 · Fax 502-212-2004

Authorized official

Stacie Grossfeld
President
5022122663

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