Organization
UNIVERSITY ORTHOPAEDIC ASSOCIATES
Active
Organization
UNIVERSITY ORTHOPAEDIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA KOCHERT CCP (BUSINESS OFFICE MANAGER)
(502) 584-7525
Entity
Organization
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-6501
(502) 562-6502
Mailing address
210 E GRAY ST, #900, LOUISVILLE, KY 40202-3900
(502) 584-7525
(502) 589-0849
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
KY
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
KY
207XX0801X
Orthopaedic Trauma Physician
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100397490A
—
IN
01
—
1049629
PASSPORT
KY
01
—
2432606000
PASSPORT ADVANTAGE
KY
05
—
65931875
—
KY
01
—
667790
CIGNA
KY
01
—
CJ5284
RAILROAD MEDICARE
KY
Enumeration date
07/10/2006
Last updated
04/25/2008
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