Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093401705 Individual Practitioner Male Practitioner

Dr. Jack P O'grady , MD

Surgery • Louisville, KY

Professional Overview & Biography Verified Profile Summary

Dr. Jack O'Grady, MD is a registered healthcare professional specializing in Surgery in Louisville, KY. Practice services are available at 550 S JACKSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

550 S Jackson St

Louisville, KY 402021622

Telephone 5025623000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Louisville, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
114 Specialists

Practicing in Louisville, KY (495 Statewide)

Telehealth Adoption Rate
3.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-17
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY IP1909

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Erica Thompson , APRN

Nurse Practitioner - Acute Care

NPI 1003443540

Advanced Practice Registered Nurse

Shelby Cofer , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003569435

Certified Registered Nurse Anesthetist

Hermys Yanes Boza , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013543958

Advanced Practice Registered Nurse

Anne Clemmons

Student in an Organized Health Care Education/Training Program

NPI 1013619568
Dzhamal Sarvalov

Student in an Organized Health Care Education/Training Program

NPI 1013852920
Bryce Faulkner

Pediatrics

NPI 1023751948

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 17, 2025

Registered at 550 S JACKSON ST, LOUISVILLE, KY 402021622 (Tel: 5025623000)

📍
Updated Business Mailing Address October 17, 2025

Registered at 550 S JACKSON ST, LOUISVILLE, KY 402021622

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2025

Surgery (License #IP1909 in KY)

NPI Profile Active April 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2023

Registered at 3181 SW SAM JACKSON ROAD, PORTLAND, OR 972399723 (Tel: 5034948211)

📍
Updated Business Mailing Address April 27, 2023

Registered at 3181 SW SAM JACKSON ROAD, L-579, PORTLAND, OR 97239 (Tel: 5034948211)

👤
Provider Name / Credentials Updated April 27, 2023

Recorded as JACK O'GRADY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 14, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093401705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2023
Last Update: October 17, 2025
Sole Proprietor: No

Mailing Address

550 S Jackson St

Louisville, KY 402021622

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.