Organization Active NPI

Extremity Center of Kentuckiana PLLC

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1245589217
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0834564 Issued in KY
Legal business name
EXTREMITY CENTER OF KENTUCKIANA PLLC
Practice address
2400 Eastpoint Pkwy Ste 560
Louisville, KY 40223-4154
Phone
(502) 365-4545
NPI assigned
Sep 5, 2012
Last updated
Oct 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Robert HobbsNPI 1891701835
Title
Partner
Phone
(502) 365-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0834564 KY Primary

Addresses

Primary practice location

2400 Eastpoint Pkwy Ste 560
Louisville, KY 40223-4154

Mailing address

12418 La Grange Rd Ste 145
Louisville, KY 40245-2908

National Provider Directory

National Provider Directory

Locations

12418 La Grange Rd
Ste 145
Louisville, KY 40245

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": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1245589217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12418 LA GRANGE RD STE 145",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402452908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 EASTPOINT PKWY STE 560",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234154",
            "telephone_number": "502-365-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTREMITY CENTER OF KENTUCKIANA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "502-365-4545"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "0834564",
            "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 Oct 31, 2012; 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.