Provider Demographics
NPI:1659807881
Name:UNIVERSITY OF LOUISVILLE
Entity Type:Organization
Organization Name:UNIVERSITY OF LOUISVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF, ENDOCRINOLOGY & DIABETES
Authorized Official - Prefix:DR
Authorized Official - First Name:KUPPER
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTERGERST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-852-4347
Mailing Address - Street 1:601 S FLOYD ST
Mailing Address - Street 2:STE 403
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1835
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 S FLOYD ST
Practice Address - Street 2:STE 403
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1835
Practice Address - Country:US
Practice Address - Phone:502-588-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-09
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise PhysiologistGroup - Multi-Specialty
No2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric EndocrinologyGroup - Multi-Specialty