Regenerative Medicine of Kentucky

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

REGENERATIVE MEDICINE OF KENTUCKY

Practice address

10900 Electron Dr Ste 101
Louisville, KY 40299-3824

Phone

(502) 425-6200

Fax

(502) 425-6400

NPI assigned

Nov 5, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Shane Cummins

Title

Owner

Phone

(502) 425-6200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1558962415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 ELECTRON DR STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993824",
            "telephone_number": "502-425-6200",
            "fax_number": "502-425-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 ELECTRON DR STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993824",
            "telephone_number": "502-425-6200",
            "fax_number": "502-425-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE MEDICINE OF KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-425-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennnifer C Regan
• Mason David Regan, DPM
• Audrey Regenauer
• Regency Health Center LLC
• Regency Nursing, LLC
• Regenerative Spine Injury Consultants LLC
• Regenra Health
• Regional Heart Specialists PLLC
• Rehab Designs, Inc.
• Rehab Group LLC

• Multi-Specialty Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Multi-Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.