NPIMap

Organization Active NPI

DO Not Use

  • Physical Medicine & Rehabilitation Physician
  • Louisville, KY
National Provider Identifier
1013175991
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DO NOT USE
Practice address
7092 Distribution Dr
Suite E
Louisville, KY 40258-2893
Phone
(502) 935-9970
NPI assigned
May 28, 2008
Last updated
Aug 3, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST COMMUNITY HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Frum
Title
Vice President
Phone
(502) 238-2801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

7092 Distribution Dr
Suite E
Louisville, KY 40258-2893

Mailing address

2600 Stanley Gault Pkwy
Suite 201
Louisville, KY 40223-4197
Phone (502) 253-1035

Other identifiers 1

IdentifierTypeStateIssuer
9538OtherKYMEDICARE GROUP

Other names 1

  • Baptistworx Other name

National Provider Directory

National Provider Directory
Tax ID family
Baptist Urgent Care12 organizations share this tax ID, including this one
Part of
Baptist Urgent Care

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1013175991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 STANLEY GAULT PKWY",
            "address_2": "SUITE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234197",
            "telephone_number": "502-253-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7092 DISTRIBUTION DR",
            "address_2": "SUITE E",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402582893",
            "telephone_number": "502-935-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DO NOT USE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST COMMUNITY HEALTH SERVICES INC",
        "enumeration_date": "2008-05-28",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "FRUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-238-2801"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9538",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptistworx",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.