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Organization
UNIVERISTY PHYSICIAN ASSOCIATES
Active
Organization
UNIVERISTY PHYSICIAN ASSOCIATES
Active
Other names
UPA Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA S LOVE (EXECUTIVE DIRECTOR)
(502) 562-5765
Entity
Organization
Contact information
Practice address
550 S JACKSON ST, 2ND FLOOR, LOUISVILLE, KY 40202-1622
(502) 562-6511
(502) 562-6512
Mailing address
501 E BROADWAY, 120, LOUISVILLE, KY 40202-1785
(502) 562-6810
(502) 562-6777
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
NULL
2086S0102X
Surgical Critical Care Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
NULL
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
2086X0206X
Surgical Oncology Physician
—
NULL
2086X0206X
Surgical Oncology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
NULL
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31000102
—
KY
Enumeration date
05/19/2006
Last updated
09/11/2025
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