Iroquois Medical Center,PSC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IROQUOIS MEDICAL CENTER,PSC.

Doing business as

Iroquois Family Medicine PSC

Practice address

5601 S 3Rd St
Suite 100
Louisville, KY 40214

Phone

(502) 361-8801

Fax

(502) 366-8655

NPI assigned

Jan 4, 2007

Last updated

Jul 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy Trinkle, MD

Title

Vice President

Phone

(502) 366-7720

Specialties & licenses 1

Addresses

Other names 1

• Iroquois Family Medicine PSC Doing business as

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1104973940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 S 3RD ST",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402142615",
            "telephone_number": "502-361-8801",
            "fax_number": "502-366-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 S 3RD ST",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40214",
            "telephone_number": "502-361-8801",
            "fax_number": "502-366-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROQUOIS MEDICAL CENTER,PSC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "TRINKLE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-366-7720",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iroquois Family Medicine PSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Angela R Irvin, ARNP
• Cedric Irvin Jr.
• Diana G Irvin, MD
• Veronica Irvin, RBT
• William R Irvin, M. ED., LPCC, LMHC

• Family Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.