Active NPI
Roy Givens III, M.D.
- Emergency Medicine Physician
- Louisville, KY
National Provider Identifier
1245204619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 29280
- Practice address
- 2323 Lime Kiln LN
Louisville, KY 40222-3416 - Phone
- (502) 339-8000
- NPI assigned
- Feb 14, 2006
- Last updated
- Aug 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 29280 | KY | Primary |
| Emergency Medicine Physician | 207P00000X | 01044209A | IN | |
| Internal Medicine Physician | 207R00000X | 29280 | KY | |
| Hospitalist Physician | 208M00000X | 29280 | KY |
Addresses
Primary practice location
2323 Lime Kiln LN
Louisville, KY 40222-3416
Mailing address
2323 Lime Kiln LN
Louisville, KY 40222-3416
Phone (502) 339-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64922800 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01044209A | IN | MD | Emergency Medicine Physician |
| 29280 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jane Todd Crawford Memorial Hospital Inc. | Past | Accepting new patients | |
| Jane Todd Crawford Memorial Hospital, Inc. | Past | Accepting new patients | |
| The Medical Center at Franklin ER Physicians | Emergency Medicine | Past | Accepting new patients |
| Jane Todd Hospital Radiological Associates,LLC | Past | Accepting new patients | |
| Breckinridge Health, Inc. | Emergency Medicine | Past | Accepting new patients |
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.
-
dba Breckinridge Memorial ER Physicians
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1477743003
-
- Critical Access Hospital
- Greensburg, KY
- NPI 1225161524
-
- Clinical Medical Laboratory
- Greensburg, KY
- NPI 1386953966
-
- Diagnostic Radiology Physician
- Greensburg, KY
- NPI 1417975459
-
- Emergency Medicine Physician
- Franklin, KY
- NPI 1417904483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1245204619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 LIME KILN LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402223416",
"telephone_number": "502-339-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 LIME KILN LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402223416",
"telephone_number": "502-339-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIVENS",
"first_name": "ROY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "29280",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01044209A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "29280",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "29280",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64922800",
"state": "KY"
}
],
"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 Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.