Old Henry Family Practice, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OLD HENRY FAMILY PRACTICE, PLLC

Practice address

2503 Bush Ridge Dr
Suite a
Louisville, KY 40245-5885

Phone

(502) 245-2701

Fax

(502) 290-2839

NPI assigned

Oct 14, 2009

Organization subpart

No

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

Authorized official

Name

Richa Gupta, MD

Title

Owner

Phone

(502) 295-8141

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1619202306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 BUSH RIDGE DR",
            "address_2": "SUITE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455885",
            "telephone_number": "502-245-2701",
            "fax_number": "502-290-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 BUSH RIDGE DR",
            "address_2": "SUITE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455885",
            "telephone_number": "502-245-2701",
            "fax_number": "502-290-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD HENRY FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RICHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-295-8141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bart M Olash, M.D.
• Felix Albert Olash Jr., M.D.
• Tara Olash
• Adetunji Idowu Olayemi, PHARMD
• Kikelomo Olukemi Olayemi
• Old Louisville Dental Centre
• Paige Oldfield
• John Samuel Oldham Jr., M.D.
• Michael S. Oldham, M.D.
• Patricia Oldis, PHARMD

• Family Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.