Provider Demographics
NPI:1831157411
Name:PURSELL, STEVEN H (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:H
Last Name:PURSELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1703
Mailing Address - Country:US
Mailing Address - Phone:502-629-2500
Mailing Address - Fax:502-629-3166
Practice Address - Street 1:3991 DUTCHMANS LN
Practice Address - Street 2:SUITE 405
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4700
Practice Address - Country:US
Practice Address - Phone:502-899-3366
Practice Address - Fax:502-899-3455
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY21436207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200009920Medicaid
KY4012785OtherAETNA PROVIDER NUMB
KY1112293Medicaid
KY000000074659OtherANTHEM PROVIDER NUMB
KY000020583GOtherHUMANA PROVIDER NUMB
KY2544745OtherCIGNA PROVIDER NUMB
KY160048071OtherRAILROAD MEDICARE
KY000020583GOtherHUMANA PROVIDER NUMB
KY000000074659OtherANTHEM PROVIDER NUMB