NPIMap

Organization Active NPI

Md2U Iah LLC

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1225430812
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MD2U IAH LLC
Practice address
140 Whittington Pkwy Ste 100
Louisville, KY 40222-4930
Phone
(502) 327-9100
Fax
(855) 632-8329
NPI assigned
Sep 25, 2014
Organization subpart
Yes
Parent organization
MD2U MANAGEMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Gregory David Latta
Title
Cio/Member
Phone
(502) 416-1851

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

140 Whittington Pkwy Ste 100
Louisville, KY 40222-4930

Mailing address

140 Whittington Pkwy Ste 100
Louisville, KY 40222-4930
Phone (502) 327-9100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1225430812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WHITTINGTON PKWY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224930",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WHITTINGTON PKWY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224930",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD2U IAH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MD2U MANAGEMENT LLC",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "LATTA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CIO/MEMBER",
        "authorized_official_telephone_number": "502-416-1851"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.