Victor Jose Anciano Granadillo, MD | |
4402 Churchman Ave Ste 300, Louisville, KY 40215-3101 | |
(502) 363-0588 | |
(502) 363-0972 |
Full Name | Victor Jose Anciano Granadillo |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 9 Years |
Location | 4402 Churchman Ave Ste 300, Louisville, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841686995 | NPI | - | NPPES |
0397730024 | Other | NC | NSC# |
300053739 | Medicaid | IN | |
7100757450 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 55434 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jewish Hospital & St Mary's Healthcare | Louisville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 731 |
University Of Louisville Physicians Inc | 3476725599 | 1111 |
Entity Name | University Of Louisville Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
Mailing Address | Practice Location Address |
---|---|
Victor Jose Anciano Granadillo, MD Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-0328 | Victor Jose Anciano Granadillo, MD 4402 Churchman Ave Ste 300, Louisville, KY 40215-3101 Ph: (502) 363-0588 |
Cyna Khalily, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 E Gray St, Suite 604, Louisville, KY 40202 Phone: 502-629-5633 Fax: 502-629-5580 | |
Dr. Philip O Dripchak, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8033 Dixie Hwy, Ste B, Louisville, KY 40258 Phone: 502-449-6448 Fax: 502-449-6455 | |
Dr. Thomas Matthew Gabriel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6400 Dutchmans Pkwy, Ste 215, Louisville, KY 40205 Phone: 502-721-8288 Fax: 502-721-8792 | |
Dr. Shari Rosenberg Gabriel, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6400 Dutchmans Pkwy, Ste 215, Louisville, KY 40205 Phone: 502-721-8288 Fax: 502-721-8792 | |
Michael Salamon, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13151 Magisterial Dr, Suite 200, Louisville, KY 40223 Phone: 502-587-1236 Fax: 502-587-0318 | |
Rolando M Puno, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 E Gray St, Suite 900, Louisville, KY 40202 Phone: 502-584-7525 Fax: 502-589-0849 | |
Frank S. Wood, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 250 E Liberty St, Suite 1005, Louisville, KY 40202 Phone: 502-589-4448 Fax: 502-589-1209 |