Active NPI
Musculoskeletal Associates PLLC
- Neuromusculoskeletal Medicine & OMM Physician
- Louisville, KY
National Provider Identifier
1477900629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- Legal business name
- MUSCULOSKELETAL ASSOCIATES PLLC
- Practice address
- 506 Executive Park
Louisville, KY 40207-4205 - Phone
- (502) 822-6603
- Fax
- (502) 747-7071
- NPI assigned
- May 18, 2016
- Last updated
- Aug 26, 2026
- 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
- Mark Conliffe, DO
- Title
- Owner
- Phone
- (502) 639-8722
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Podiatrist | 213E00000X |
Addresses
Primary practice location
506 Executive Park
Louisville, KY 40207-4205
Mailing address
506 Executive Park
Louisville, KY 40207-4205
Phone (502) 822-6603
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300075562 | Medicaid | IN | |
| 7100816010 | Medicaid | KY | |
| 7100918830 | Medicaid | KY | |
| 7100819670 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
3010 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 771-1012
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Louisville, KY
- NPI 1053606103
-
- Pediatrics Physician
- Louisville, KY
- NPI 1710077888
-
- Nurse Practitioner
- Olive Hill, KY
- NPI 1215968003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1477900629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 EXECUTIVE PARK",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074205",
"telephone_number": "502-822-6603",
"fax_number": "502-747-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 EXECUTIVE PARK",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074205",
"telephone_number": "502-822-6603",
"fax_number": "502-747-7071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSCULOSKELETAL ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-18",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "CONLIFFE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-639-8722",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300075562",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100816010",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100918830",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100819670",
"state": "KY"
}
],
"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 Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.