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

University Orthopaedic Departmental Entity Inc

Organization Orthopaedic Surgery Physician · NPI 1871852640

University Orthopaedic Departmental Entity Inc is an Orthopaedic Surgery Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2012.

Licensed in
KY
In the registry since
2012
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

530 S Jackson St
Louisville, KY 40202-1675
Phone: (502) 852-5319
Fax: (502) 852-7227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 27747 (KY)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence 40767 (KY)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X · Licence 27746 (KY)
Orthopaedic Trauma Physician Taxonomy 207XX0801X · Licence 40767 (KY)

Record details

NPI number1871852640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Roberts — Director · (502) 852-5319
NPI enumeratedMay 14, 2012
Last updated in NPPESAugust 3, 2012
Mailing address550 S Jackson St, Acb First Floor, Louisville, KY 40202-1622

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