DR. MD Ian Spencer Mutchnick, NPI 1295954386
Neurological Surgery Physician in Louisville, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1295954386
NPI Entity Type Individual
Provider Name DR. MD Ian Spencer Mutchnick
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 210 E Gray St, Suite 1102, Louisville, KY, US
Provider Mailing Address Po Box 776879, Chicago, IL, US, 606776879
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207T00000X

Taxonomy Name Neurological Surgery Physician
Classification

Neurological Surgery

Group

Allopathic & Osteopathic Physicians

License No. 43020
License State KY
Description A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Business Address

DR. MD Ian Spencer Mutchnick
210 E Gray St
Suite 1102

Louisville, KY, US

Phone: 502-322-5714

Mailing Address

DR. MD Ian Spencer Mutchnick
Po Box 776879
Chicago, IL, US
ZIP 606776879
Phone: 502-588-9490
Fax: 502-272-5116

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207T00000X

Allopathic & Osteopathic Physicians

Neurological Surgery

095567 OH No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
000000642043 KY ANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY 01
3810329 KY CIGNA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY 01
50026300 KY PASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY 01
108520 KY SIHO 01
200967320 IN MEDICAID 05
3746249000 KY PASSPORT ADVANTAGE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY 01
200967320 KY ANTHEM INDIANA MEDICAID- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY 01
7100090630 KY MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
FHIR https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/ No 210 E Gray St, Suite 1102, Louisville, KY, US
DIRECT [email protected] No 210 E Gray St, Suite 1102, Louisville, KY, US

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DO John M Fleming

Individual

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911 Bypass Rd Bldg A

Pikeville, KY

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