University of Louisville Phyisicians, Inc.
Organization Active NPI Infectious Disease Physician · Louisville, KY
NPI 1477828580 · NPPES record last updated Mar 22, 2012
Key facts
- NPI
- 1477828580
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- Legal business name
- UNIVERSITY OF LOUISVILLE PHYISICIANS, INC.
- Practice address
- 401 E Chestnut St
Suite 310
Louisville, KY 40202-5700 - Phone
- (502) 589-6788
- Fax
- (502) 584-8563
- NPI assigned
- Mar 22, 2012
- Organization subpart
- No
Authorized official
- Name
- John Elliott
- Title
- VP of Human Resources
- Phone
- (502) 588-4206
Practitioners 28
-
Leslie Anne Beavin, M.D.
-
Abby Jane Bell, PA
-
Sarah Marie Bishop, APRN
-
Anum Fayyaz, MD
-
Walter Fitch, PA
-
Georgia P Harrod, PA C
-
Katie Elizabeth Kraft, APRN
-
Tariq Mehmood, MD
-
Aimee Christine Mihalyov, APRN
-
Bridget Pitcock, APRN
-
Angela Reynolds, APRN
-
David Brandon Thomas Jr., MD, MPH
-
Sonya Carol Worthington, CRNA
-
Muhammad-Hani Fadhl Dawwas, MB,CHB
-
Forest Arnold, DO
-
Juan Guardiola, MD
-
Kaymie Marie Johnston, APRN
-
Jason Kelley, MD
-
Raul Nakamatsu, MD
-
Mohamed Saad, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111017000036 | KY | Part B Supplier - Clinic/Group Practice | 3476725599 |
Receives reassigned benefits from 2,419 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000
200 Abraham Flexner Way
#903
Louisville, KY 40202
550 S Jackson St
Fl Acb
Louisville, KY 40202
501 E Broadway
Louisville, KY 40202
Phone (502) 852-6464
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician |
207RI0200X | Yes |
Addresses
Primary practice location
401 E Chestnut St
Suite 310
Louisville, KY 40202-5700
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0320
Other names
- ULP Infectious Disease
NPI Registry JSON
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332374400000",
"number": "1477828580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909",
"telephone_number": "502-588-0320",
"fax_number": "502-588-0326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E CHESTNUT ST",
"address_2": "SUITE 310",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402025700",
"telephone_number": "502-589-6788",
"fax_number": "502-584-8563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF LOUISVILLE PHYISICIANS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-22",
"last_updated": "2012-03-22",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "VP OF HUMAN RESOURCES",
"authorized_official_telephone_number": "502-588-4206"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ULP Infectious Disease",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Louisville, KY
- University of Louisville OB/GYN
- University of Louisville Phyisicians, Inc.
- University of Louisville Phyisicians, Inc.
- University of Louisville Phyisicians, Inc.
- University of Louisville Phyisicians, Inc.
- University of Louisville Phyisicians, Inc.
- University of Louisville Phyisicians, Inc.
- University of Louisville Phyisicians, Inc.
- University of Louisville Phyisicians, Inc.
- University of Louisville Phyisicians, Inc.
All providers in Louisville, KY · Infectious Disease Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.