Individual
DR. DOUGLAS M ACKERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, PATHOLOGY DEPT, LOUISVILLE, KY 40202-1818
(502) 587-4330
(502) 587-4161
Mailing address
1169 EASTERN PKWY, SUITE G 71, LOUISVILLE, KY 40217-1417
(502) 458-8661
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
22257
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000253063
ANTHEM BLUE CROSS BS
KY
05
—
0199463000
—
WV
01
—
0956501
CIGNA HEALTHCARE
—
01
—
1100338
UNITED HEALTHCARE
—
01
—
1169937
PASSPORT MEDICAID
KY
05
—
200031050A
—
IN
01
—
220033467
RAILROAD MEDICARE
—
05
—
64222573
—
KY
Enumeration date
07/24/2006
Last updated
09/12/2011
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