Kentucky Geriatrics PSC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

KENTUCKY GERIATRICS PSC

Practice address

1705 Herr LN
Louisville, KY 40222-6545

Phone

(502) 544-6442

Fax

(502) 426-5493

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Beyla Zuberi, MDNPI 1861492373

Title

Owner

Phone

(502) 544-6442

Specialties & licenses 4

Addresses

Other identifiers 2

Practitioners 5

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

• Beyla J Zuberi, MD

  • Hospitalist Physician
  • Louisville, KY
  • NPI 1861492373

  Internal Medicine

  NPD (past) Authorized official
• Contina A McClain-Patton, A.R.N.P

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1619997285
  NPD (past)
• Mistie Rachelle Teer, APRN

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1821236555

  Adult Health

  NPD (past)
• Judith Plamp Wilson, ARNP

  • Adult Health Nurse Practitioner
  • Louisville, KY
  • NPI 1598910762
  NPD (past)
• Aisha Salman Zaidi, MD

  • Hematology & Oncology Physician
  • Mechanicsville, VA
  • NPI 1770770281
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1689674186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950231",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950231",
            "telephone_number": "502-814-3170",
            "fax_number": "502-814-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 HERR LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226545",
            "telephone_number": "502-544-6442",
            "fax_number": "502-426-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY GERIATRICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "ZUBERI",
        "authorized_official_first_name": "BEYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-544-6442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD4794",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65943813",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Geriatric Medicine (Internal Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.