Provider Demographics
NPI:1699891457
Name:HEALTHCARE INITIATIVES,PLLC
Entity type:Organization
Organization Name:HEALTHCARE INITIATIVES,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:ROTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-933-9902
Mailing Address - Street 1:318 MOCKINGBIRD VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-1362
Mailing Address - Country:US
Mailing Address - Phone:502-933-9902
Mailing Address - Fax:502-933-5085
Practice Address - Street 1:5129 DIXIE HWY STE 105
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-1729
Practice Address - Country:US
Practice Address - Phone:502-933-9902
Practice Address - Fax:502-933-5085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY21471207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty