Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sports Medicine Surgical Specialists PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1689070559

Sports Medicine Surgical Specialists PLLC is a Foot & Ankle Surgery Podiatrist in Louisville, Kentucky. Works from 3 locations. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6400 Dutchmans Pkwy Ste 215
Louisville, KY 40205-3343
Phone: (502) 721-8288
Fax: (502) 721-8792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 Missouri Ave Ste A, Jeffersonville, IN 47130-3014 — (812) 920-0055
  • 210 E Gray St Ste 820, Louisville, KY 40202-3900 — (502) 585-3668

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1689070559
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Myrick — Sole Owner · (502) 721-8288
Other names Kentuckiana Foot And Ankle Sports Medicine; Kentuckiana Foot And Ankle Sports Medicine
NPI enumeratedNovember 5, 2014
Last updated in NPPESDecember 5, 2021
Certification dateDecember 5, 2021
Mailing address6400 Dutchmans Pkwy, 215, Louisville, KY 40205-3340

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