Provider Demographics
NPI:1790776102
Name:SEIFERT, SARA BETH (PA-C)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:BETH
Last Name:SEIFERT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:B
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 950248
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0248
Mailing Address - Country:US
Mailing Address - Phone:502-489-5730
Mailing Address - Fax:502-489-5753
Practice Address - Street 1:3900 KRESGE WAY
Practice Address - Street 2:SUITE 51
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4660
Practice Address - Country:US
Practice Address - Phone:502-259-5955
Practice Address - Fax:502-259-5953
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA846363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY00533115OtherMEDICARE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY3698197000OtherPASSPORT ADVANTAGE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY95004446OtherMEDICAID KY- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY000000602821OtherANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY000023035POtherHUMANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY50004777OtherPASSPORT
KY50022671OtherPASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY95004446Medicaid
KYP00150284OtherRAILROAD MCR
KYP00709414OtherRAILROAD MEDICARE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY000000332683OtherANTHEM
KY000000604401OtherANTHEM- NORTON NEUROLOGY SERVICES
KY102640OtherSIHO- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY102640OtherSIHO- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KYP00150284OtherRAILROAD MCR
KYP00709414OtherRAILROAD MEDICARE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY