Provider Demographics
NPI:1811929961
Name:CABORN, DAVID NEIL (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:NEIL
Last Name:CABORN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6801 DIXIE HWY
Mailing Address - Street 2:STE 130
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40258-3913
Mailing Address - Country:US
Mailing Address - Phone:502-587-8222
Mailing Address - Fax:502-587-0860
Practice Address - Street 1:201 ABRAHAM FLEXNER WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-587-8222
Practice Address - Fax:502-587-0860
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY28310207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000292627OtherANTHEM / UNIV ORTHO ASSOC
KY64283104Medicaid
IN200350570Medicaid
KY2439907000OtherPASSPORT ADV/UNIV ORTHO A
KY1164525OtherPASSPORT
KY1165086OtherPASSPORT / UNIV ORTHO ASS
KY2439848000OtherPASSPORT ADVANTAGE
KY000000205512OtherANTHEM
KY200042779OtherRAILROAD MEDICARE
KY0605924Medicare PIN
KY000000292627OtherANTHEM / UNIV ORTHO ASSOC
KY2439848000OtherPASSPORT ADVANTAGE
C87435Medicare UPIN
KYP00939730Medicare PIN