NPIMap

Organization Active NPI

Judy Holtman

  • Medical Specialty Clinic/Center
  • Louisville, KY
National Provider Identifier
1609054766
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
18578 Issued in KY
Legal business name
JUDY HOLTMAN
Practice address
444 S 1St St
Suite 100
Louisville, KY 40202-1416
Phone
(502) 583-6647
Fax
(502) 585-4824
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Judy H Holtman, M.D.NPI 1912992504
Title
Owner
Phone
(502) 583-6647

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 18578 KY Primary

Addresses

Primary practice location

444 S 1St St
Suite 100
Louisville, KY 40202-1416

Mailing address

Dept 8093
Carol Stream, IL 60122-0001
Phone (866) 286-9915

National Provider Directory

National Provider Directory

Locations

Dept 8093
Carol Stream, IL 60122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1609054766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 8093",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601220001",
            "telephone_number": "866-286-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S 1ST ST",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021416",
            "telephone_number": "502-583-6647",
            "fax_number": "502-585-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY HOLTMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "HOLTMAN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-583-6647",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "KY",
            "license": "18578",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 31, 2008; 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.