Provider Demographics
NPI:1205034154
Name:RAYMOND E. PIERCE,JR.,M.D.,P.S.C.
Entity Type:Organization
Organization Name:RAYMOND E. PIERCE,JR.,M.D.,P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:E
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:502-895-3633
Mailing Address - Street 1:3950 KRESGE WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4637
Mailing Address - Country:US
Mailing Address - Phone:502-895-3633
Mailing Address - Fax:502-895-3639
Practice Address - Street 1:3950 KRESGE WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4637
Practice Address - Country:US
Practice Address - Phone:502-895-3633
Practice Address - Fax:502-895-3639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty