Jeffersotown Family Practice

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JEFFERSOTOWN FAMILY PRACTICE

Practice address

10216 Taylorsville Rd
Suite#400
Louisville, KY 40299-3616

Phone

(502) 267-5456

Fax

(502) 240-5610

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sue C Engleman, O

Title

Business Manger

Phone

(502) 267-5456

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1689788853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10216 TAYLORSVILLE RD",
            "address_2": "SUITE#400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993616",
            "telephone_number": "502-267-5456",
            "fax_number": "502-240-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10216 TAYLORSVILLE RD",
            "address_2": "SUITE#400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993616",
            "telephone_number": "502-267-5456",
            "fax_number": "502-240-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSOTOWN FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "ENGLEMAN",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSINESS MANGER",
        "authorized_official_telephone_number": "502-267-5456",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "O"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeffersontown Physical Therapy LLC (KORT J-town Physical Therapy)
• Vicki L Jeffery, APRN
• Jeffrey V. Chou, DPM
• Angela Michelle Jeffries, M.D.
• Natalie Wise Jeffries, PA-C
• Dusan Mark Jeftinija, PHARM.D., PH.D.

• 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 Dec 2, 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.