Organization Active NPI

Louisville Reproductive Center LLC

  • Ambulatory Fertility Facility
  • Louisville, KY
National Provider Identifier
1114408747
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Fertility FacilityTaxonomy code 261QA0006X
Legal business name
LOUISVILLE REPRODUCTIVE CENTER LLC
Practice address
4123 Dutchmans Lane
Suite 416
Louisville, KY 40207-4755
Phone
(502) 897-2144
Fax
(502) 897-1773
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Robert J JP,,, MD
Title
Managing Partner
Phone
(502) 897-2144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Fertility Facility 261QA0006X Primary

Addresses

Primary practice location

4123 Dutchmans Lane
Suite 416
Louisville, KY 40207-4755

Mailing address

4123 Dutchmans Lane
Suite 416
Louisville, KY 40207-4755
Phone (502) 897-2144

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1042384Louisville Reproductive Center4123 Dutchmans Lane Ste 416, Louisville, KY 40207ComplianceSep 26, 2027

National Provider Directory

National Provider Directory

Locations

4123 Dutchmans Ln
Ste 416
Louisville, KY 40207
Phone (502) 897-2144

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1114408747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LANE",
            "address_2": "SUITE 416",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074755",
            "telephone_number": "502-897-2144",
            "fax_number": "502-897-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LANE",
            "address_2": "SUITE 416",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074755",
            "telephone_number": "502-897-2144",
            "fax_number": "502-897-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE REPRODUCTIVE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "JP,,",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "502-897-2144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.