Preston Medical Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

35882 Issued in KY

Legal business name

PRESTON MEDICAL CENTER

Practice address

927 S 3Rd St
Louisville, KY 40203-2215

Phone

(502) 614-2824

NPI assigned

Mar 18, 2015

Organization subpart

No

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

Authorized official

Name

David Weber, MD

Title

Owner/Ceo

Phone

(502) 614-2824

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Preston Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Preston Medical Center, LLC

  • Pain Clinic/Center
  • Louisville, KY
  • NPI 1285984484
  NPD tax ID

Locations

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1609269414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032215",
            "telephone_number": "502-614-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032215",
            "telephone_number": "502-614-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "502-614-2824",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "35882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811921216",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Presnell
• Deborah Presser, OT
• Prestige Chiropractic Center
• Preston Chiropractic and Rehabilitation LLC
• Preston Highway Oral Surgery PLLC (Derby City Oral Surgery)
• Preston Medical Center, LLC
• Preston Spa LLC (CoffeeSpa)
• Preston Station Occupational Health Services, PSC (River City Health Services)
• Preston Urgent Care, Inc
• Felicia Preston

• Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.