Provider Demographics
NPI:1134128754
Name:REMSON, ANTHONY T (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:T
Last Name:REMSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 COMMERCE CROSSINGS DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-2182
Mailing Address - Country:US
Mailing Address - Phone:502-253-4900
Mailing Address - Fax:502-489-5751
Practice Address - Street 1:2312 HIKES LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-1402
Practice Address - Country:US
Practice Address - Phone:502-479-7229
Practice Address - Fax:502-479-0237
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY28162207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY110185449OtherRAILROAD MEDICARE -KY
KY64005895Medicaid
KY110185449OtherRAILROAD MEDICARE -KY
KY0756912Medicare PIN