NPIMap

Individual provider Active NPI

Elizabeth Arnold, PA-C

  • Medical Physician Assistant
  • Louisville, KY
National Provider Identifier
1558734368
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2065 Issued in KY
Practice address
908 Dupont Rd
Louisville, KY 40207-4602
Phone
(502) 749-7909
Fax
(502) 749-9397
NPI assigned
Nov 3, 2015
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Medical Physician Assistant 363AM0700X PA2065 KY Primary

Addresses

Primary practice location

908 Dupont Rd
Louisville, KY 40207-4602

Mailing address

PO Box 990
Danville, KY 40423-0990
Phone (859) 239-2360

Other identifiers 1

IdentifierTypeStateIssuer
7100401900MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151217002520 KY Practitioner - Physician Assistant 6002117983 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2065KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc Medical CurrentSince Feb 8, 2022 Accepting new patients
Ephraim McDowell Health Resource, Inc Medical CurrentSince Feb 8, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 16, 2019 Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Feb 8, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 16, 2019 Accepting new patients
Nick Dedman, MD and Associates, P.S.C. Current Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Feb 8, 2022 Accepting new patients
Komg-Louisville Region Inc. CurrentSince Jan 1, 2019 Accepting new patients
Ephraim McDowell Health Resource,Inc Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

120 Daniel Dr
Danville, KY 40422
Phone (859) 236-0903

1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173

100 E Liberty St
Ste 800
Louisville, KY 40202
Phone (502) 540-3339

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

908 DuPont Rd
Louisville, KY 40207
Phone (502) 559-1855

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1558734368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404230990",
            "telephone_number": "859-239-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 DUPONT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074602",
            "telephone_number": "502-749-7909",
            "fax_number": "502-749-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA2065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100401900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.