UNIVERSITY SURGICAL ASSOCIATES, PSC
NPI 1609847367
Surgery in Louisville, KY

NPI Status: Active since January 31, 2006

Contact Information

401 E CHESTNUT ST
SUITE 710
LOUISVILLE, KY
ZIP 40202
Phone: (502) 583-8303
Fax: (502) 584-0302

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  • Organization
  • Surgery
  • CLIA Number: 18D0991173
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-12-2025

About UNIVERSITY SURGICAL ASSOCIATES, PSC

This page provides the complete NPI Profile along with additional information for University Surgical Associates, Psc, a provider established in Louisville, Kentucky operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1609847367 assigned on January 2006. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. University Surgical Associates, Psc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Timothy D. Crockett Ceo (Ceo)

NPI
1609847367
Provider Name
UNIVERSITY SURGICAL ASSOCIATES, PSC
Entity Type
Organization
Location Address
401 E CHESTNUT ST SUITE 710 LOUISVILLE, KY 40202
Location Phone
(502) 583-8303
Location Fax
(502) 584-0302
Mailing Address
401 E CHESTNUT ST SUITE 710 LOUISVILLE, KY 40202
Mailing Phone
(502) 583-8303
Mailing Fax
(502) 584-0302
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2006
Last Update Date
12-21-2011
Code Navigator

A surgeon like University Surgical Associates, Psc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
22086S0122XAllopathic & Osteopathic Physicians

Surgery
Plastic and Reconstructive Surgery

 
32086X0206XAllopathic & Osteopathic Physicians

Surgery
Surgical Oncology

 
4208C00000XAllopathic & Osteopathic Physicians

Colon & Rectal Surgery

 
5231H00000XSpeech, Language and Hearing Service Providers

Audiologist

 
6235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 
7363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

 
8363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TIMOTHY D. CROCKETT CEO

Authorized Official Title
CEO
Authorized Official Phone
(502) 583-8303

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
65900946MEDICAID (05)KY 
100001110AMEDICAID (05)IN 
1051066OTHER (01)KYPASSPORT

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D0991173
Facility Type
Physician Office
Certificate Effective Date
September 13, 2023
Certificate Expiration Date
September 12, 2025
Laboratory Director
DR. CHARLES SCROGGINS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to University Surgical Associates, Psc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for UNIVERSITY SURGICAL ASSOCIATES, PSC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609847367
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260916414312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 6 + 4 + 1 + 4 + 3 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1609847367 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114925377 STEPHEN S KIRZINGER M.D.
Individual
Psychiatry & Neurology (Neurology)401 E CHESTNUT ST SUITE 510
LOUISVILLE, KY 40202
(502) 589-0802
1487646808 RICHARD WRIGHT MD
Individual
Internal Medicine (Gastroenterology)401 E CHESTNUT ST SUITE 310
LOUISVILLE, KY 40202
(502) 584-8563
1417943549 BRADON J WILHELMI M.D.
Individual
Surgery (Plastic and Reconstructive Surgery)401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303
1003892472 KELLI M. BULLARD DUNN MD
Individual
Colon & Rectal Surgery401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303
1841278959 DEBORAH LYNN BLOYD NURSE PRACTITIONER
Individual
Nurse Practitioner (Women's Health)401 E CHESTNUT ST SUITE 410
LOUISVILLE, KY 40202
(502) 271-5999
1336128867 GARY C VITALE MD
Individual
Surgery401 E CHESTNUT ST STE 710
LOUISVILLE, KY 40202
(502) 583-8303
1639158272 LARRY DAVID FLORMAN MD
Individual
Surgery (Plastic and Reconstructive Surgery)401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303
1457330094 KELLY M MCMASTERS MD
Individual
Surgery (Surgical Oncology)401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303
1508846528DR. JEFFREY M. BUMPOUS MD
Individual
Otolaryngology401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303
1215917232 GERALD M LARSON MD
Individual
Surgery401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303
1841260841 HIRAM C POLK JR. MD
Individual
Surgery (Surgical Oncology)401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303
1558331470 MICHAEL B FLYNN MD
Individual
Surgery (Surgical Oncology)401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303
1558331553 MICHAEL H MCCAFFERTY MD
Individual
Surgery401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303
1447220447 SUSAN GALANDIUK MD
Individual
Colon & Rectal Surgery401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303
1619947504 ROBERT CG MARTIN II MD
Individual
Surgery (Surgical Oncology)401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303
1811967698 RICHARD E GOLDSTEIN MD
Individual
Surgery401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303
1124098462 GLEN A FRANKLIN MD
Individual
Surgery401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303
1285606327DR. PRAKASH SHIVARM SHET M.D.
Individual
Psychiatry & Neurology (Psychiatry)401 E CHESTNUT ST #610
LOUISVILLE, KY 40202
(502) 813-6611
1881668481DR. BRIAN G HARBRECHT MD
Individual
Surgery401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303
1164499604 TONI M GANZEL MD
Individual
Otolaryngology401 E CHESTNUT ST SUITE 710
LOUISVILLE, KY 40202
(502) 583-8303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609847367, enumerated in the NPI registry as an "organization" on January 31, 2006

The provider is located at 401 E Chestnut St Suite 710 Louisville, Ky 40202 and the phone number is (502) 583-8303

This medical organization specializes in Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 18D0991173 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.