Active NPI
U.S. Healthworks Medical Group of Kentucky, Inc.
- Occupational Medicine Physician
- Louisville, KY
National Provider Identifier
1447709472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- Legal business name
- U.S. HEALTHWORKS MEDICAL GROUP OF KENTUCKY, INC.
- Practice address
- 3430 Newburg Rd
Suite 106
Louisville, KY 40218-2497 - Phone
- (502) 451-1100
- Fax
- (502) 451-1181
- NPI assigned
- Oct 3, 2016
- Organization subpart
- Yes
- Parent organization
- U.S. HEALTHWORKS MEDICAL GROUP OF KENTUCKY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph T Mallas
- Title
- President & Cheif Executive Officer
- Phone
- (661) 678-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | Primary |
Addresses
Primary practice location
3430 Newburg Rd
Suite 106
Louisville, KY 40218-2497
Mailing address
25124 Springfield CT
200
Valencia, CA 91355-1085
Phone (661) 678-2600
National Provider Directory
National Provider Directory- Tax ID family
- US Healthworks Medical Group of Kentucky
- Part of
- US Healthworks Medical Group of Kentucky
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Medicine Physician
- Louisville, KY
- NPI 1134678196
-
- Occupational Medicine Physician
- Louisville, KY
- NPI 1730638750
-
- Urgent Care Clinic/Center
- Valencia, CA
- NPI 1619361961
Locations
3430 Newburg Rd
Ste 106
Louisville, KY 40218
Phone (502) 451-1100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475452800000",
"number": "1447709472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25124 SPRINGFIELD CT",
"address_2": "200",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551085",
"telephone_number": "661-678-2600",
"fax_number": "661-678-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 NEWBURG RD",
"address_2": "SUITE 106",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402182497",
"telephone_number": "502-451-1100",
"fax_number": "502-451-1181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "U.S. HEALTHWORKS MEDICAL GROUP OF KENTUCKY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. HEALTHWORKS MEDICAL GROUP OF KENTUCKY, INC.",
"enumeration_date": "2016-10-03",
"last_updated": "2016-10-03",
"status": "A",
"authorized_official_last_name": "MALLAS",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT & CHEIF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "661-678-2600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational 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 Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.