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

Dr. Mary E Fallat, MD

Individual provider Pediatric Surgery Physician · NPI 1124025127

Dr. Mary E Fallat, MD is a Pediatric Surgery Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

411 E Chestnut St
Louisville, KY 40202-1713
Phone: (502) 588-0390
Fax: (502) 588-0396
Show map & directions

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

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 21050 (KY)

Record details

NPI number1124025127
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2005
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing addressPo Box 776879, Chicago, IL 60677-6879

Other providers in Louisville