Edwin Carmouche MD PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

26724 Issued in KY

Legal business name

EDWIN CARMOUCHE MD PLLC

Practice address

152 Chenoweth LN
Louisville, KY 40207-2651

Phone

(502) 895-7697

Fax

(502) 895-7698

NPI assigned

Aug 10, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Franklin Carmouche, MDNPI 1649468083

Title

Member

Phone

(502) 895-7697

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Edwin Carmouche Other name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edwin F Carmouche, MD

  • Pulmonary Disease Physician
  • Louisville, KY
  • NPI 1649468083
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1225030224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 CHENOWETH LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072651",
            "telephone_number": "502-895-7697",
            "fax_number": "502-895-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CHENOWETH LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072651",
            "telephone_number": "502-895-7697",
            "fax_number": "502-895-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN CARMOUCHE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "CARMOUCHE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-895-7697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "26724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64267248",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201083940A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwin Carmouche",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Edwin Carmouche",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roanna Dawn Edwards, RN
• Tayler Edwards
• Traci M Edwards, M.D.
• Victoria Edwards, LPCC
• Edwin Amirianfar DO PSC
• Tracy Dwight Eells, PH.D.
• Effie's Place Homecare Services
• Kelly Effinger, APRN
• Sabrina Renee Effinger, MS, OTR/L
• Efillrx LLC (Efill RX)

• Pulmonary Disease Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Pulmonary Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.