# SURGICAL CARE ASSOCIATES PSC

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

## Provider details

- **NPI number:** 1598745283
- **Authorized official:** MS. MARCIA L HUGHES (PRACTICE MANAGER)
- **Authorized official phone:** (502) 897-5139

## Contact information

- **Practice address:** 4003 KRESGE WAY, SUITE 300, LOUISVILLE, KY 40207-4652
- **Practice address phone:** (502) 897-5139
- **Practice address fax:** (502) 896-6218
- **Mailing address:** 4003 KRESGE WAY, SUITE 300, LOUISVILLE, KY 40207-4652
- **Mailing address phone:** (502) 897-5139
- **Mailing address fax:** (502) 896-6218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 11/27/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300020930 | — | IN |
| 05 | — | 65900516 | — | KY |
| 05 | — | 7100623120 | — | KY |
| 05 | — | 7100628950 | — | KY |