Louisville Endocrinology PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

KY26476 Issued in KY

Legal business name

LOUISVILLE ENDOCRINOLOGY PSC

Practice address

3288 Illinois Ave
Suite 100
Louisville, KY 40213

Phone

(502) 515-6621

Fax

(502) 515-6620

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Ann Ballard, MD

Title

Physician President

Phone

(502) 515-6621

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295852317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 ILLINOIS AVE",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40213",
            "telephone_number": "502-515-6621",
            "fax_number": "502-515-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 ILLINOIS AVE",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40213",
            "telephone_number": "502-515-6621",
            "fax_number": "502-515-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE ENDOCRINOLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "502-515-6621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "KY26476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000227457",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1162678",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2439678000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisville Emergency Medicine Associates
• Louisville Emergency Medicine Associates
• Louisville Emergency Medicine Associates PSC (Louisville Emergency Medicine Associates)
• Louisville Emergency Medicine Associates, PSC
• Louisville Endocrine Consultants, PSC
• Louisville Endodontics
• Louisville Endoscopy Center, PLLC (Louisville Endoscopy Center)
• Louisville ENT Associates
• Louisville Expressive Therapies LLC
• Louisville Eye Anesthesia LLC

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.