Organization Active NPI

Kentucky Urgent Care, PLLC

  • Internal Medicine Physician
  • Carrollton, KY
National Provider Identifier
1245525013
Registry record updated Oct 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KENTUCKY URGENT CARE, PLLC
Practice address
329 Floyd Dr
Carrollton, KY 41008
Phone
(502) 238-9911
Fax
(502) 238-9912
NPI assigned
Jun 9, 2011
Last updated
Oct 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2011

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

Authorized official

Name
Abdul G Buridi, M.D.NPI 1376504985
Title
Member/Physician
Phone
(502) 238-9911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

329 Floyd Dr
Carrollton, KY 41008

Mailing address

720 W Broadway
202
Louisville, KY 40202-2240
Phone (502) 238-9911

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317427200000",
    "number": "1245525013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W BROADWAY",
            "address_2": "202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022240",
            "telephone_number": "502-238-9911",
            "fax_number": "502-238-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 FLOYD DR",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "41008",
            "telephone_number": "502-238-9911",
            "fax_number": "502-238-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-10-01",
        "status": "A",
        "authorized_official_last_name": "BURIDI",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER/PHYSICIAN",
        "authorized_official_telephone_number": "502-238-9911",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2011; 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.