Individual provider Active NPI

Gary L Thurman, A.R.N.P

  • Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1184934622
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
3006586 Issued in KY
Practice address
215 Central Ave., Ste. 110
Louisville, KY 40208-1418
Phone
(502) 852-6479
Fax
(502) 852-0660
NPI assigned
Oct 18, 2010
Last updated
May 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6586P KY
Registered Nurse 163W00000X 1095067 KY
Pediatrics Physician 208000000X 3006586 KY Primary

Addresses

Primary practice location

215 Central Ave., Ste. 110
Louisville, KY 40208-1418

Mailing address

501 E. Broadway, Ste. 290
Louisville, KY 40202-2040
Phone (502) 217-8221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215001023 KY Practitioner - Nurse Practitioner 0446448542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

215 Central Ave
Suite 110
Louisville, KY 40208-1451
Phone (502) 852-6479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1095067KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Research Foundation, Inc. CurrentSince Apr 13, 2023 Accepting new patients
University of Louisville Research Foundation Inc Family Current Accepting new patients
University of Louisville Research Foundation, Inc CurrentSince Apr 13, 2023 Accepting new patients
University of Louisville Research Foundation Inc Pediatrics Past Accepting new patients
University of Louisville Research Foundation Past Accepting new patients

Locations

215 Central Ave
Ste 110
Louisville, KY 40208
Phone (502) 852-5205

401 E Chestnut St
Unit 110
Louisville, KY 40202
Phone (502) 852-6446

501 E Broadway
Ste 290
Louisville, KY 40202
Phone (502) 217-5134

530 S Jackson St
Fl 2
Louisville, KY 40202
Phone (502) 561-8844

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1184934622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E. BROADWAY, STE. 290",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022040",
            "telephone_number": "502-217-8221",
            "fax_number": "502-217-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CENTRAL AVE., STE. 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081418",
            "telephone_number": "502-852-6479",
            "fax_number": "502-852-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "A.R.N.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6586P",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1095067",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "3006586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.