Individual
DAVID A DAGEFORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 DUTCHMANS LN STE 101, LOUISVILLE, KY 40207-4726
(502) 896-2120
(502) 896-2110
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5395
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20071
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044911
ANTHEM PIN
KY
01
—
000000693027
ANTHEM - NCVA
KY
01
—
000057080C
HUMANA - NCVA
KY
01
—
0203578000
PASSPORT ADVANAGE PIN
KY
01
—
060018530
RAILROAD MEDICARE PIN
KY
05
—
100388760A
—
IN
05
—
100388760F
—
IN
01
—
1056110
PASSPORT PIN
KY
01
—
50031154
PASSPORT & PASSPORT ADVTG - NCVA
KY
05
—
64200710
—
KY
01
—
P00889587
MEDICARE RR - NCVA
KY
Enumeration date
06/27/2006
Last updated
05/04/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us