Organization
SPECIALTY ORTHOPAEDICS PSC
Active
Organization
SPECIALTY ORTHOPAEDICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MATTHEW GABRIEL MD (PRESIDENT)
(502) 721-8288
Entity
Organization
Contact information
Practice address
6400 DUTCHMANS PKWY, STE 215, LOUISVILLE, KY 40205-3343
(502) 721-8288
(502) 721-8792
Mailing address
6400 DUTCHMANS PKWY, STE 215, LOUISVILLE, KY 40205-3343
(502) 721-8288
(502) 721-8792
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31883
KY
207XS0106X
Orthopaedic Hand Surgery Physician
32683
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
00251
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1129663
GRP PASSPORT
KY
05
—
65915308
—
KY
01
—
80900293
GRP MEDICAID PODIATRY
KY
01
—
DE3727
GRP RAILROAD MEDICARE
KY
Enumeration date
05/31/2005
Last updated
08/17/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up