Organization Active NPI

North Dixie Medical Center PLLC

  • Pain Clinic/Center
  • Louisville, KY
National Provider Identifier
1124537204
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
NORTH DIXIE MEDICAL CENTER PLLC
Practice address
3502 Dixie Hwy
Louisville, KY 40216-5069
Phone
(502) 996-7776
Fax
(502) 996-7779
NPI assigned
Sep 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jorge Rodriguez, MD
Title
Owner
Phone
(502) 996-7776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

3502 Dixie Hwy
Louisville, KY 40216-5069

Mailing address

3502 Dixie Hwy
Louisville, KY 40216-5069
Phone (502) 996-7776

National Provider Directory

National Provider Directory

Locations

3502 Dixie Hwy
Louisville, KY 40216
Phone (502) 447-4700

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124537204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402165069",
            "telephone_number": "502-996-7776",
            "fax_number": "502-996-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402165069",
            "telephone_number": "502-996-7776",
            "fax_number": "502-996-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DIXIE MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-996-7776",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "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 Jul 21, 2022; 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.