Nikorb Medical Services LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

NIKORB MEDICAL SERVICES LLC

Practice address

3900 Kresge Way
Louisville, KY 40207-4660

Phone

(502) 894-4418

Fax

(502) 894-8966

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Theadore Michael Ivanchak

Title

President

Phone

(502) 849-4418

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen A Edling, M.D.

  • Hospitalist Physician
  • Louisville, KY
  • NPI 1255300828
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164474318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 KRESGE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074681",
            "telephone_number": "502-894-4418",
            "fax_number": "502-894-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 KRESGE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074660",
            "telephone_number": "502-894-4418",
            "fax_number": "502-894-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKORB MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IVANCHAK",
        "authorized_official_first_name": "THEADORE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-849-4418",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanuel A Nigusse, PHARMD
• Komal Nijjer
• Souroush Mohammed Niknahad, SRNA
• Samuel S Nikolich
• Nikorb Healthcare, LLC
• Rebecca Lynn Niksich, AUD
• Georgia Ann Niles, ARNP
• Shannon M Nilest, M.ED., LPP
• Ernesto Nillar-Fonseca, PSY.D.
• Olivia V Nilsson

• Hospitalist Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Hospitalist Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.