Louisville Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

32690 Issued in KY

Legal business name

LOUISVILLE INTERNAL MEDICINE

Practice address

3950 Kregge Way
Suite 303
Louisville, KY 40207

Phone

(502) 895-4772

Fax

(502) 895-8396

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Susan Janocik, MD

Title

President

Phone

(502) 895-4772

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477509891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 KREGGE WAY",
            "address_2": "SUITE 303",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-895-4772",
            "fax_number": "502-895-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 KREGGE WAY",
            "address_2": "SUITE 303",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-895-4772",
            "fax_number": "502-895-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANOCIK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-895-4772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "25901",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "35865",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "32690",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "28032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louisville Infectious Disease and Internal Medicine
• Louisville Injury Clinics, Inc
• Louisville Injury, Medical and Chiropractic Center, LLC
• Louisville Inpatient Physician Services, PLLC
• Louisville Integrated Care
• Louisville Internal Medicine & Pediatrics, LLC
• Louisville Jefferson County Metro
• Louisville Jefferson County Metro Government
• Louisville Jefferson County Metro Government (Newburg Health Clinic)
• Louisville Jefferson County Metro Government (Jefferson County Immunization Int Project)

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.