Organization Active NPI

Preston Station Occupational Health Services, PSC

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1477721801
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02528 Issued in KY
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

Updated by the provider on Mar 7, 2011

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 02528 KY Primary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X 02528 KY
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.