Active NPI
Preston Station Occupational Health Services, PSC
- Family Medicine Physician
- Louisville, KY
National Provider Identifier
1477721801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02528
- Legal business name
- PRESTON STATION OCCUPATIONAL HEALTH SERVICES, PSC
- Doing business as
- River City Health Services
- Practice address
- 1941 Bishop LN Ste 205
Louisville, KY 40218-1973 - Phone
- (502) 375-3242
- Fax
- (502) 375-4331
- NPI assigned
- Feb 19, 2008
- 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
- Dr. Peter Urda, D.O.
- Title
- President
- Phone
- (502) 375-3242
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02528 | KY | Primary |
| Occupational Medicine Physician | 2083X0100X | 02528 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3005276 | KY |
Addresses
Primary practice location
1941 Bishop LN Ste 205
Louisville, KY 40218-1973
Mailing address
1941 Bishop LN Ste 205
Louisville, KY 40218-1973
Phone (502) 499-2197
Other names 1
- River City Health Services
National Provider Directory
National Provider DirectoryLocations
1941 Bishop Ln
Ste 205
Louisville, KY 40218
Phone (502) 375-3242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299456000000",
"number": "1477721801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 BISHOP LN STE 205",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181973",
"telephone_number": "502-499-2197",
"fax_number": "502-499-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 BISHOP LN STE 205",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181973",
"telephone_number": "502-375-3242",
"fax_number": "502-375-4331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTON STATION OCCUPATIONAL HEALTH SERVICES, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-19",
"last_updated": "2011-03-07",
"status": "A",
"authorized_official_last_name": "URDA",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "502-375-3242",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": "02528",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "KY",
"license": "02528",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3005276",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "River City Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.