Sports Medicine Surgical Specialists Pllc
Foot & Ankle Surgery
6400 Dutchmans Pkwy Ste 215, Louisville
Kentucky, 40205-3343
502-721-8288 502-721-8792
Sports Medicine Surgical Specialists Pllc is a Foot & Ankle Surgery in Louisville, Kentucky. It is located at 6400 Dutchmans Pkwy Ste 215, Louisville and it's customer support contact number is 502-721-8288. The authorized person of Sports Medicine Surgical Specialists Pllc is Keith Wellington Myrick, DPM who is Sole Owner of this DME and his contact number is 502-721-8288. Sports Medicine Surgical Specialists Pllc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Sports Medicine Surgical Specialists Pllc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Sports Medicine Surgical Specialists Pllc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Sports Medicine Surgical Specialists Pllc |
| Type: | Foot & Ankle Surgery |
| Location: | 6400 Dutchmans Pkwy Ste 215, Louisville,
Kentucky, 40205-3343 |
| Phone: | 502-721-8288 |
| Fax: | 502-721-8792 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Keith Wellington Myrick |
| Credentials: | DPM |
| Position: | Sole Owner |
| Contact Number: | 502-721-8288 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1689070559 |
| NPI Enumeration Date: | 05 Nov, 2014 |
| NPI Last Update On: | 05 Dec, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sports Medicine Surgical Specialists Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Foot & Ankle Surgery | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7100333220 | Medicaid | Kentucky | |
Medicare Enrollment:
Sports Medicine Surgical Specialists Pllc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5597089367 | O20150127001248 | Sports Medicine Surgical Specialists Pllc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 5597089367 | O20150306000348 | Sports Medicine Surgical Specialists Pllc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6400 Dutchmans Pkwy, # 215
Louisville, Kentucky |
| Zip: | 40205-3340 |
| Phone Number: | 502-721-8288 |
| Fax Number: | 502-721-8792 |
Patients can reach Sports Medicine Surgical Specialists Pllc at
6400 Dutchmans Pkwy Ste 215, Louisville, Kentucky or can
call on customer care at 502-721-8288.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.