Community Medical Associates, Inc.
Organization Active NPI Pediatric Orthopaedic Surgery Physician · Louisville, KY
NPI 1134587140 · NPPES record last updated Sep 21, 2021
Key facts
- NPI
- 1134587140
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Orthopaedic Surgery Physician 207XP3100X
- Legal business name
- COMMUNITY MEDICAL ASSOCIATES, INC.
- Practice address
- 4803 Olympia Park PLZ Ste 1100
Louisville, KY 40241-3068 - Phone
- (502) 588-9490
- Fax
- (502) 272-5339
- NPI assigned
- Feb 4, 2016
- Organization subpart
- No
Authorized official
- Name
- Shelley Gast
- Title
- President
- Phone
- (502) 588-9490
Other NPIs on the same Medicare enrollment 25
Practitioners 76
-
Jaclyn Haley Alexander, APRN
-
Maher Alia, DO
-
Tia M Alton, MD
-
William E. Aufox, MD
-
Kelly Jo Bowie, PA
-
Allyssa Buchanan, APRN
-
Anne Buck, PA
-
Nicholas Dean Carricato, M.D.
-
Justin Cartwright, MSN, APRN, FNP-C
-
Donna Jean Casada, APRN
-
Jonathan D Cohen, M.D.
-
Patricia Corzine, NP
-
Jennifer Dee Deacon, APRN
-
Nina Michael Fulkerson, APRN
-
Brittney Nicole Ganshirt, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031120000656 | KY | Part B Supplier - Clinic/Group Practice | 7012811284 |
Receives reassigned benefits from 2,067 practitioners 24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20040309000452 | IN | Part B Supplier - Clinic/Group Practice | 7012811284 |
Receives reassigned benefits from 460 practitioners 18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Jeffersonville, IN; Madison, IN; New Albany, IN; Salem, IN; Scottsburg, IN; Sellersburg, IN; Versailles, IN; Vevay, IN… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician |
207XP3100X | Yes | ||
| Pediatrics Physician |
208000000X | |||
| Physician Assistant |
363A00000X |
Addresses
Primary practice location
4803 Olympia Park PLZ Ste 1100
Louisville, KY 40241-3068
Mailing address
PO Box 776351
Chicago, IL 60677-0202
Phone (502) 588-9490
Other providers in Louisville, KY
- Community Medical Associates, Inc
- Community Medical Associates, Inc.
- Community Medical Associates, Inc.
- Community Medical Associates, Inc.
- Community Medical Associates, Inc.
- Community Medical Associates, Inc.
- Community Medical Associates, Inc.
- Community Medical Associates, Inc.
- Community Medical Associates, Inc.
- Community Medical Associates, Inc.
All providers in Louisville, KY · Pediatric Orthopaedic Surgery Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.