Organization
SPINE SURGERY, PSC
Active
Organization
SPINE SURGERY, PSC
Active
Parent organization
SPINE SURGERY, PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPINE SURGERY, PSC
Authorized official
MRS. LINETTE M GADWAH (CREDENTIALING COORDINATOR)
(502) 585-2300
Entity
Organization
Contact information
Practice address
210 E GRAY ST, SUITE 601, LOUISVILLE, KY 40202-3902
(502) 585-2300
(502) 584-2726
Mailing address
210 E GRAY ST, SUITE 601, LOUISVILLE, KY 40202-3902
(502) 585-2300
(502) 584-2726
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65918583
—
KY
Enumeration date
12/22/2005
Last updated
04/07/2008
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