University of Louisville Research Foundation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION

Doing business as

UofL Family Medicine @ ACB

Practice address

550 S Jackson St
1St Floor
Louisville, KY 40202-1622

Phone

(502) 562-6503

Fax

(502) 562-6504

NPI assigned

Apr 24, 2006

Last updated

Jul 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James G. O'Brien, MD

Title

Department Chairman

Phone

(502) 852-8498

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• UofL Family Medicine @ ACB Doing business as

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1679539258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E BROADWAY",
            "address_2": "STE 290",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021785",
            "telephone_number": "502-217-5134",
            "fax_number": "502-217-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S JACKSON ST",
            "address_2": "1ST FLOOR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021622",
            "telephone_number": "502-562-6503",
            "fax_number": "502-562-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DEPARTMENT CHAIRMAN",
        "authorized_official_telephone_number": "502-852-8498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "1120262",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100108960 (ARNPS)",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100091550",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UofL Family Medicine @ ACB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• University of Louisville Research Foundation (ULRF Pediatric Pulmonology)
• University of Louisville Research Foundation (ULRF - UPA Neurosurgery)
• University of Louisville Research Foundation (Neonatal Follow Up program)
• University of Louisville Research Foundation (ULRF Emergency Medicine)
• University of Louisville Research Foundation (ULRF Pediatric Critical Care)
• University of Louisville Research Foundation (ULRF - UofL Geriatrics)
• University of Louisville Research Foundation (ULRF - Children & Youth Project)
• University of Louisville Research Foundation (UofL Family Medicine at Cardinal Station)
• University of Louisville Research Foundation (ULRF - WCEC Cytogenetic Lab)
• University of Louisville Research Foundation (ULRF International Adoption Clinic)

• 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 Jul 7, 2010; 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.