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Organization
LOUISVILLE PODIATRY PSC
Active
Organization
LOUISVILLE PODIATRY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MERKOW (PRESIDENT)
(278) 009-9587
Entity
Organization
Contact information
Practice address
2525 BARDSTOWN RD, LOUISVILLE, KY 40205-2665
(502) 458-8989
(502) 451-5439
Mailing address
2525 BARDSTOWN RD, LOUISVILLE, KY 40205-2665
(502) 458-8989
(502) 451-5439
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00176
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000753169
ANTHEM
KY
05
—
201047510A
—
IN
01
—
50036964
PASSPORT HEALTH PLAN
KY
05
—
7100242120
—
KY
01
—
DS6209
RAILROAD MEDICARE
IN
01
—
DT2470
RAILROAD MEDICARE
KY
Enumeration date
12/20/2011
Last updated
08/04/2025
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