Active NPI
Nikorb Healthcare, LLC
- Internal Medicine Physician
- Louisville, KY
National Provider Identifier
1427140912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NIKORB HEALTHCARE, LLC
- Practice address
- 3900 Kresge Way
Suite 45
Louisville, KY 40207-4660 - Phone
- (502) 894-4418
- NPI assigned
- Sep 29, 2006
- 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
- Mr. David Cecil
- Title
- Vice President
- Phone
- (502) 894-4418
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3900 Kresge Way
Suite 45
Louisville, KY 40207-4660
Mailing address
3900 Kresge Way
Suite 45
Louisville, KY 40207-4660
Phone (502) 894-4418
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1427140912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 KRESGE WAY",
"address_2": "SUITE 45",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074660",
"telephone_number": "502-894-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 KRESGE WAY",
"address_2": "SUITE 45",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074660",
"telephone_number": "502-894-4418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIKORB HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "CECIL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "502-894-4418",
"authorized_official_name_prefix": "Mr."
},
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.