Louisville & So Indiana Pulmonary Care

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

3008801 Issued in KY

Legal business name

LOUISVILLE & SO INDIANA PULMONARY CARE

Practice address

4402 Churchman Ave
Ste 409
Louisville, KY 40215-1190

Phone

(502) 368-9561

Fax

(502) 882-1263

NPI assigned

Aug 6, 2014

Organization subpart

No

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

Authorized official

Name

Stacy L Ralston

Title

Practice Administator

Phone

(502) 368-9561

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Robert Killeen, M.D.

  • Pulmonary Disease Physician
  • Louisville, KY
  • NPI 1730187790
  NPD (past)

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1417366279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 CHURCHMAN AVE",
            "address_2": "STE 409",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151190",
            "telephone_number": "502-368-9561",
            "fax_number": "502-882-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 CHURCHMAN AVE",
            "address_2": "STE 409",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151190",
            "telephone_number": "502-368-9561",
            "fax_number": "502-882-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE & SO INDIANA PULMONARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTATOR",
        "authorized_official_telephone_number": "502-368-9561"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "KY",
            "license": "3008801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Loughran Jr., M.D.
• Louissaint Louis Xvi, CSA
• Ashley Campbell Louis, PA-C
• Marco Cornelis Louisse, M.D.
• Susan Alvarez Louisse, DDS
• Louisville & So Indiana Pulmonary Care PLC
• Louisville Addiction Center LLC
• Louisville Advanced Medicine & Surgery PLLC
• Louisville Allergy & Asthma, PSC
• Louisville Anesthesia Services PSC

• Critical Care Medicine Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Critical Care Medicine Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.