G.I.M., PLLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3010352 Issued in KY

Legal business name

G.I.M., PLLC

Practice address

16605 Chestnut Glen PL
Louisville, KY 40245-6121

Phone

(502) 709-0430

NPI assigned

Aug 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Leon Butler, MD

Title

President

Phone

(502) 435-1739

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1013460633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 CHESTNUT GLEN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402456121",
            "telephone_number": "502-709-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 CHESTNUT GLEN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402456121",
            "telephone_number": "502-709-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.I.M., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-435-1739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "3010352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE NUMBER",
            "identifier": "3010352",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernard Joseph Fussenegger Sr.
• Ella L Futter, RN, MSN, NP-C
• Emily E Fuzette
• John Christian Fyffe, MSN, RN, FNP, RRT
• G & G Diagnostic, LLC
• G's Therapy & Rehabilitation System Inc
• Edwin Earl Gaar, M.D.
• Charles Edward Gaba, MD
• Julian Glenn Gabbard, M.D.
• Angela Lynn Gabhart, LCSW

• Skilled Nursing Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.