# UNIVERSITY PHYSICIAN ASSOCIATES

> 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
- **Other names:** UPA Urology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942232905
- **Authorized official:** PAM ANDERSON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (502) 562-5762

## Contact information

- **Practice address:** 550 S JACKSON ST, 2ND FLOOR, LOUISVILLE, KY 40202-1622
- **Practice address phone:** (502) 562-6511
- **Practice address fax:** (502) 562-6512
- **Mailing address:** 501 E BROADWAY, STE 290, LOUISVILLE, KY 40202-1785
- **Mailing address phone:** (502) 217-8221
- **Mailing address fax:** (502) 217-5056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 05/19/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000000552733 | ANTHEM | — |
| 05 | — | 31000102 | — | KY |
| 01 | — | 50006485 | PASSPORT HEALTH PLAN | KY |