Basic Information
| Provider Information | |||||||||
| NPI: | 1497800379 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PILO | ||||||||
| FirstName: | CAREY | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 E LIBERTY ST | ||||||||
| Address2: | SUITE 800 | ||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402021434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5025874404 | ||||||||
| FaxNumber: | 5025874156 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 ABRAHAM FLEXNER WAY | ||||||||
| Address2: | ANESTHESIA DEPARTMENT | ||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402021886 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5025874404 | ||||||||
| FaxNumber: | 5025874156 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2007 | ||||||||
| LastUpdateDate: | 04/04/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 03215 | KY | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | K127510-KOHMG | 01 | KY | MEDICARE | OTHER | 7100091580 (KOHMG) | 05 | KY | MEDICAID | 200950370A (KOHMG) | 05 | IN | MEDICAID | P01572159-KOHMG | 01 | KY | RR MEDICARE | OTHER |