Louisville Dermatology Asc Psc

LBN: Louisville Dermatology Asc Psc
Louisville Dermatology Asc Psc is an health care organization with primary practice located at 1700 Bluegrass Avenue Suite 300, Louisville KY 40215. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Louisville Dermatology Asc Psc can be contacted via phone (502) 363-1841, or through Logsdon, Martin Thomas via phone (502) 363-1841.

Contact Information

Primary practice address
1700 Bluegrass Avenue Suite 300 Louisville KY 40215
Phone: (502) 363-1841
Fax: (502) 366-3317
Website:
Map and Directions
Authorized official contact:
Name: Logsdon, Martin Thomas Doctor of Medicine (MD)
Phone: (502) 363-1841

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1669539789
LBN Legal business name Louisville Dermatology Asc Psc
DBA Doing business as
Authorized official Logsdon, Martin Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Dec 2nd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669539789 NPPES
Kentucky MEDICAID 65943797
Kentucky Other 50005707

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