Individual
JOHN JOSEPH GUARNASCHELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 E GRAY ST, SUITE 768, LOUISVILLE, KY 40202-1901
(502) 584-4121
(502) 584-6626
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
14746
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045440
ANTHEM PROVIDER #
—
01
—
000000674359
ANTHEM - NNIKY
KY
01
—
000052155V
HUMANA - NNIKY
KY
01
—
100383680
INDIANA MEDICAID
IN
01
—
1048759
PASSPORT PROVIDER #
—
01
—
119046
SIHO - NNIKY
KY
01
—
2529982
CIGNA - NNIKY
KY
01
—
50029962
PASSPORT & PASSPORT ADVANTAGE - NNIKY
KY
05
—
64147465
—
KY
Enumeration date
09/26/2006
Last updated
11/03/2014
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