Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 32284 | KY |
NPI | 1013939883 |
---|---|
Provider Name | Dr. Philip O Dripchak |
First Address | Louisville, KY 40295-0202 |
Second Address | Louisville, KY 40258-1344 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 12/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000620765 | NOTC/ANTHEM (01) | |
000026447X | NOTC/HUMANA (01) | |
106892 | NOTC/SIHO (01) | |
200964290 | (05) | IN |
3719526000 | NOTC/PAD (01) | |
4748794 | NOTC/CIGNA (01) | |
50024279 | NOTC/PHP (01) | |
64322845 | (05) | KY |
F05506 | (02) | KY |
P00761023 | NOTC/RAILROAD (01) |