Bone Marrow Transplant
Nurse Practitioner, Pediatrics in Louisville, KY. Organization (NPI-2).
Details
- NPI
- 1710164447
- Entity type
- Organization (NPI-2)
- Legal business name
- Bone Marrow Transplant
- Organization subpart
- Yes
- Enumeration date
- Jan 24, 2008
- Last updated
- Feb 5, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | – | KY | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | KY |
Practice location
601 S Floyd StSuite 403
Louisville, KY 40202-1835
Phone 502-629-7750 · Fax 502-629-7784
Mailing address
601 S Floyd StSuite 403
Louisville, KY 40202-1835
Phone 502-629-7750 · Fax 502-629-7784
Authorized official
Salvatore J Bertolone
President
5026297750
Is something wrong?
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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All 67 Pediatric Nurse Practitioner providers in Louisville · All 27,512 providers in Louisville
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