Provider Demographics
NPI:1578516852
Name:UNIVERSITY ANESTHESIOLOGY ASSOCIATES PSC
Entity Type:Organization
Organization Name:UNIVERSITY ANESTHESIOLOGY ASSOCIATES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPT CHAIR
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOYD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-852-0993
Mailing Address - Street 1:PO BOX 950123 DEPT 52519
Mailing Address - Street 2:UNIVERSITY ANESTHESIOLOGY ASSOCIATES, PSC
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295
Mailing Address - Country:US
Mailing Address - Phone:502-852-0993
Mailing Address - Fax:502-852-1734
Practice Address - Street 1:530 SOUTH JACKSON STREET
Practice Address - Street 2:UNIVERSITY ANESTHESIAOLOGY ASSOCIATES, PSC
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-852-0993
Practice Address - Fax:502-852-3762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty