Provider Demographics
NPI:1053307884
Name:SCHARF, CAROLE C (MD)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:C
Last Name:SCHARF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROLE
Other - Middle Name:B
Other - Last Name:SCHARF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2700 STANLEY GAULT PKWY STE 129
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-5176
Mailing Address - Country:US
Mailing Address - Phone:502-489-6613
Mailing Address - Fax:502-489-5751
Practice Address - Street 1:4003 KRESGE WAY
Practice Address - Street 2:SUITE 115
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4652
Practice Address - Country:US
Practice Address - Phone:502-897-8163
Practice Address - Fax:502-897-8052
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN010491732085R0001X
KY340712085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64347016Medicaid
KY50026617OtherPASSPORT
KY000000638803OtherANTHEM
KY64347016Medicaid
KY000000638803OtherANTHEM