Organization Active NPI

George Stege

Doing business as Hurstbourne Family Care

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1083211841
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GEORGE STEGE
Doing business as
Hurstbourne Family Care
Practice address
2304 Hurstbourne Village Dr Ste 500
Louisville, KY 40299-1886
Phone
(502) 583-3189
Fax
(502) 581-1463
NPI assigned
Oct 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
George Stege, MD
Title
Owner
Phone
(502) 653-7643

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

2304 Hurstbourne Village Dr Ste 500
Louisville, KY 40299-1886

Mailing address

2304 Hurstbourne Village Dr Ste 500
Louisville, KY 40299-1886
Phone (502) 583-3189

Other identifiers 2

IdentifierTypeStateIssuer
20839OtherKYMEDICAL LICENSE
K144380OtherKYMEDICARE

Other names 1

  • HURSTBOURNE FAMILY CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1083211841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 HURSTBOURNE VILLAGE DR STE 500",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991886",
            "telephone_number": "502-583-3189",
            "fax_number": "502-581-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 HURSTBOURNE VILLAGE DR STE 500",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991886",
            "telephone_number": "502-583-3189",
            "fax_number": "502-581-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE STEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "STEGE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-653-7643",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20839",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K144380",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HURSTBOURNE FAMILY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 15, 2021; 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.