Organization Active NPI

Louisville Primary Care

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1306341417
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LOUISVILLE PRIMARY CARE
Practice address
801 Barret Ave Ste 112
Louisville, KY 40204-1732
Phone
(502) 200-8259
Fax
(502) 584-8379
NPI assigned
Mar 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Julie Schoenbaechler
Title
Credentialing Specialist
Phone
(502) 220-8437

Specialties & licenses 1

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

Addresses

Primary practice location

801 Barret Ave Ste 112
Louisville, KY 40204-1732

Mailing address

801 Barret Ave Ste 112
Louisville, KY 40204-1732
Phone (502) 200-8259

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1306341417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BARRET AVE STE 112",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041732",
            "telephone_number": "502-200-8259",
            "fax_number": "502-584-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BARRET AVE STE 112",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041732",
            "telephone_number": "502-200-8259",
            "fax_number": "502-584-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "SCHOENBAECHLER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "502-220-8437"
    },
    "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 Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.