Preston Medical Center, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

35882 Issued in KY

Legal business name

PRESTON MEDICAL CENTER, LLC

Practice address

5703 Preston Hwy
Suite B
Louisville, KY 40219-1305

Phone

(502) 614-7403

Fax

(502) 410-0447

NPI assigned

Sep 14, 2012

Organization subpart

No

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

Authorized official

Name

David Weber, MD

Title

Owner

Phone

(502) 614-7403

Specialties & licenses 1

Addresses

Tax ID family

Preston Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Preston Medical Center

  • Specialist
  • Louisville, KY
  • NPI 1609269414
  NPD tax ID

Locations

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1285984484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 PRESTON HWY",
            "address_2": "SUITE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191305",
            "telephone_number": "502-614-7403",
            "fax_number": "502-410-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 PRESTON HWY",
            "address_2": "SUITE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191305",
            "telephone_number": "502-614-7403",
            "fax_number": "502-410-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-614-7403",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "KY",
            "license": "35882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Presser, OT
• Prestige Chiropractic Center
• Preston Chiropractic and Rehabilitation LLC
• Preston Highway Oral Surgery PLLC
• Preston Medical Center
• Preston Spa LLC
• Preston Station Occupational Health Services, PSC
• Preston Urgent Care, Inc
• Felicia Preston
• Geoffrey Oliver Preston, LCSW

• Pain Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Pain Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.