Individual
DR. NICHOLAS DEAN CARRICATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-8000
(303) 306-7753
Mailing address
PO BOX 780982, PHILADELPHIA, PA 19178-0982
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
41860
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000583717
ANTHEM - WS
KY
01
—
00533058
MEDICARE - CMA
KY
01
—
099159
SIHO - WS
KY
01
—
200918710
MEDICAID - IN - WS
IN
01
—
3552751000
PASSPORT ADVTG - WS
KS
01
—
50021447
PASSPORT - WS
KY
01
—
7100061820
MEDICAID - W SP
KY
01
—
P00869561
RAILROAD MEDICARE - KY
KY
Enumeration date
02/15/2007
Last updated
04/02/2020
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