# UNIVERSITY SURGICAL ASSOCIATES, PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053646547
- **Authorized official:** MR. TIMOTHY D. CROCKETT (CEO)
- **Authorized official phone:** (502) 583-8303

## Contact information

- **Practice address:** 401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5700
- **Practice address phone:** (502) 583-8303
- **Practice address fax:** (502) 584-0302
- **Mailing address:** 401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5700
- **Mailing address phone:** (502) 583-8303
- **Mailing address fax:** (502) 584-0302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2009
- **Last updated:** 10/16/2009