Louisville Pulmonary Associates, PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

22609 Issued in KY

Legal business name

LOUISVILLE PULMONARY ASSOCIATES, PSC

Practice address

4402 Churchman Ave
Suite 305
Louisville, KY 40215-1190

Phone

(502) 368-9590

Fax

(502) 368-9616

NPI assigned

Feb 3, 2006

Last updated

Oct 9, 2007By 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

Mrs. Stacy Louise Ralston, CCPC, LMR

Title

Practice Manager

Phone

(502) 368-9590

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Heidi Ann Gallo, ARNP

  • Adult Health Nurse Practitioner
  • Louisville, KY
  • NPI 1104807189
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1336111376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 CHURCHMAN AVE",
            "address_2": "SUITE 305",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151190",
            "telephone_number": "502-368-9590",
            "fax_number": "502-368-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 CHURCHMAN AVE",
            "address_2": "SUITE 305",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151190",
            "telephone_number": "502-368-9590",
            "fax_number": "502-368-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE PULMONARY ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "502-368-9590",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCPC, LMR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "22609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2432231000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CM5707",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisville Podiatry PSC
• Louisville Podiatry PSC
• Louisville Presbyterian Seminary (Louisville Seminary Counseling Center)
• Louisville Primary Care
• Louisville Psychotherapy Group, LLC
• Louisville Pulmonary Care PLLC
• Louisville Recovery Center (Tranquility Recovery Center)
• Louisville Recovery Center
• Louisville Reproductive Center LLC
• Louisville Retina PLLC

• Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.