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

Susan B Tate MD PA

Organization Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · NPI 1205252426

Susan B Tate MD PA is an Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2014.

Licensed in
KY
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2934 Breckenridge Ln Ste 2
Louisville, KY 40220-3903
Phone: (502) 454-7871
Fax: (502) 454-7872
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X · Licence 39021 (KY)

Record details

NPI number1205252426
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Tate — Owner · (502) 454-7871
NPI enumeratedMarch 12, 2014
Last updated in NPPESMarch 12, 2014
Mailing address2934 Breckenridge Ln, Suite 2, Louisville, KY 40220-3903

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