Active NPI
Ufpa Center for Primary Care
- Family Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- UFPA CENTER FOR PRIMARY CARE
- Practice address
- 215 Central Ave
Ste 205
Louisville, KY 40208-1449 - Phone
- (502) 852-3322
- NPI assigned
- Nov 10, 2008
- Last updated
- Oct 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James G. O'Brien, MD
- Title
- President/Department Chair
- Phone
- (502) 852-8498
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
215 Central Ave
Ste 205
Louisville, KY 40208-1449
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 852-5205
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3704175000 | Other | KY | PASSPORT ADV |
| 7100083770 | Medicaid | KY | |
| 200940330 | Medicaid | IN | |
| 50023132 | Other | KY | PASSPORT |
National Provider Directory
National Provider DirectoryLocations
215 Central Ave
Ste 110
Louisville, KY 40208
Phone (502) 852-5205
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Louisville, KY
- NPI 1063463917
-
- Geriatric Medicine (Internal Medicine) Physician
- Louisville, KY
- NPI 1740231687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350518400000",
"number": "1326292996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909",
"telephone_number": "502-852-5205",
"fax_number": "500-285-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 CENTRAL AVE",
"address_2": "STE 205",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402081449",
"telephone_number": "502-852-3322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UFPA CENTER FOR PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-10",
"last_updated": "2012-10-18",
"status": "A",
"authorized_official_last_name": "O'BRIEN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT/DEPARTMENT CHAIR",
"authorized_official_telephone_number": "502-852-8498",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADV",
"identifier": "3704175000",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100083770",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200940330",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50023132",
"state": "KY"
}
],
"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 18, 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.