Organization
LOUISVILLE ENDOCRINOLOGY PSC
Active
Organization
LOUISVILLE ENDOCRINOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH ANN BALLARD MD (PHYSICIAN PRESIDENT)
(502) 515-6621
Entity
Organization
Contact information
Practice address
3288 ILLINOIS AVE, SUITE 100, LOUISVILLE, KY 40213
(502) 515-6621
(502) 515-6620
Mailing address
3288 ILLINOIS AVE, SUITE 101, LOUISVILLE, KY 40213
(502) 515-6621
(502) 515-6620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
KY26476
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227457
ANTHEM
—
01
—
1162678
PASSPORT
—
01
—
2439678000
PASSPORT ADVANTAGE
—
Enumeration date
03/23/2007
Last updated
08/22/2020
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