Provider Demographics
NPI:1699844910
Name:BIRKHEAD, ECKMAN & SCHARF, P.S.C.
Entity Type:Organization
Organization Name:BIRKHEAD, ECKMAN & SCHARF, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BIRKHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-589-4421
Mailing Address - Street 1:PO BOX 4667
Mailing Address - Street 2:801 BARRET AVE., SUITE 106
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-0667
Mailing Address - Country:US
Mailing Address - Phone:502-589-4421
Mailing Address - Fax:502-589-5887
Practice Address - Street 1:4003 KRESGE WAY STE 115
Practice Address - Street 2:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0407Medicare ID - Type Unspecified
KY5757Medicare ID - Type Unspecified