Organization
ELLIS & BADENHAUSEN ORTHOPAEDICS, PSC
Active
Organization
ELLIS & BADENHAUSEN ORTHOPAEDICS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHANA M PRESTON CPC (BILLING DIRECTOR)
(502) 587-1236
Entity
Organization
Contact information
Practice address
13151 MAGISTERIAL DR, SUITE 200, LOUISVILLE, KY 40223-4103
(502) 587-1236
(502) 587-0126
Mailing address
PO BOX 32486, LOUISVILLE, KY 40232-2486
(502) 587-1236
(502) 587-0126
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
079020
KY
208100000X
Physical Medicine & Rehabilitation Physician
079020
KY
332B00000X
Durable Medical Equipment & Medical Supplies
079020
KY
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079020
STATE ID
KY
Enumeration date
08/22/2006
Last updated
02/27/2025
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