Louisville Emergency Medicine Associates PSC
Organization Active NPI Emergency Medicine Physician · Louisville, KY
NPI 1487604641 · NPPES record last updated Dec 10, 2013
Key facts
- NPI
- 1487604641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- LOUISVILLE EMERGENCY MEDICINE ASSOCIATES PSC
- Practice address
- 4000 Kresge Way
Louisville, KY 40207-4605 - Phone
- (502) 899-7646
- Fax
- (502) 899-7648
- NPI assigned
- May 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Steven T Lundquist, MD
- Title
- President
- Phone
- (502) 899-7646
Practitioners 80
-
Thomas Edward Davis II, M.D.
-
Steven Lundquist, MD
-
Brett Allen Miller, M.D.
-
Mark Molinari, MD
-
Tara L Odle, MD
-
Daniel Todd Culy, M.D.
-
Melissa Metzelfeld, ATC, PA-C
-
Eric E Baker, MD
-
David Biddle, MD
-
Riley D Coots, MD
-
Tyler Mason Corey, M.D.
-
Jason Alan Dugger, M.D.
-
Justin Thomas Geralds, M.D.
-
Aleah Danielle Herth, APRN
-
Mark Nunley, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040423000047 | KY | Part B Supplier - Clinic/Group Practice | 1557357613 |
Receives reassigned benefits from 55 practitioners Practice locations: Louisville, KY |
National Provider Directory
Locations
6000 Brownsboro Park Blvd
Ste B
Louisville, KY 40207
Phone (502) 899-7716
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
4000 Kresge Way
Louisville, KY 40207-4605
Mailing address
PO Box 6749
Louisville, KY 40206-0749
Phone (502) 899-7646
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1048952 | Other | KY | PASSPORT GROUP # |
| 000000059904 | Other | KY | ANTHEM/BLUE CROSS GROUP # |
| 65917445 | Medicaid | KY |
Other names
- Louisville Emergency Medicine Associates
Other providers in Louisville, KY
- Louisville Dialysis Centers LLC
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- Louisville East Primary Care
- Louisville Emergency Medicine Associates
- Louisville Emergency Medicine Associates
- Louisville Emergency Medicine Associates, PSC
- Louisville Endocrine Consultants, PSC
- Louisville Endocrinology PSC
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- Louisville Endoscopy Center, PLLC
All providers in Louisville, KY · Emergency Medicine 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 Dec 10, 2013. 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.