Phonesavane Lianekhammy, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

TP138 Issued in KY

Practice address

3118 East 10TH Street
Norton Community Medical Associates
Jeffersonville, IN 47130

Phone

(812) 282-6979

NPI assigned

Mar 27, 2008

Last updated

Feb 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Community Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1306983762
  NPD (past)
• Community Medical Associates, Inc.

  dba Norton Community Medical Associates

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1881192409
  NPD (past)
• Community Medical Associates, Inc.

  • Neurological Surgery Physician
  • Louisville, KY
  • NPI 1922288760
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1225200462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950202",
            "telephone_number": "502-969-6552",
            "fax_number": "502-969-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 EAST 10TH STREET",
            "address_2": "NORTON COMMUNITY MEDICAL ASSOCIATES",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "812-282-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANEKHAMMY",
        "first_name": "PHONESAVANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "TP138",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "99033592A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "BU6476407R519",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000043766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIANA MEDICAID- NORTON COMMUNITY MEDICAL ASSOCIATES",
            "identifier": "000000586939",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA- NORTON COMMUNITY MEDICAL ASSOCIATES",
            "identifier": "3525703",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO- NORTON COMMUNITY MEDICAL ASSOCIATES",
            "identifier": "098947",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- NORTON ICC & CMA",
            "identifier": "196290BBBB",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- NORTON COMMUNITY MEDICAL ASSOCIATES",
            "identifier": "000000586612",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- NORTON COMMUNITY MEDICAL ASSOCIATES",
            "identifier": "000023034H",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE- NORTON COMMUNITY MEDICAL ASSOCIATES",
            "identifier": "P00783046",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY INDIANA PLAN- NORTON COMMUNITY MEDICAL ASSOCIATES",
            "identifier": "200918490",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID- NORTON CMA",
            "identifier": "200918490",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SELECT- NORTON COMMUNITY MEDICAL ASSOCIATES",
            "identifier": "200918490",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IN- CMA",
            "identifier": "00533076",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID KY- NORTON COMMUNITY MEDICAL ASSOCIATES",
            "identifier": "7100070980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Brewer Leonards, MS, BCBA
• Nancyanne F Lerner, MD
• Catherine Lesaux, LCSW
• Cassandra Denise Lewis, PMHNP
• Marcie Lewis, FNP-C
• Life Improvement Counseling Center LLC
• Lifespring Medical Services, Inc
• Lifespring Pharmacy
• Lifespring, Inc (LifeSpring Forensics Health Services)
• Lifespring, Inc

• Internal Medicine Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.