NPIMap

Organization Active NPI

Jewish Hospital Healthcare Services

Doing business as Jewish Hospital FPA

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1699757559
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JEWISH HOSPITAL HEALTHCARE SERVICES
Doing business as
Jewish Hospital FPA
Practice address
7612 Shepherdsville Rd
Louisville, KY 40219-2963
Phone
(502) 968-6226
Fax
(502) 966-5562
NPI assigned
Nov 16, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Zach Bostock
Title
Manager
Phone
(502) 262-4160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7612 Shepherdsville Rd
Louisville, KY 40219-2963

Mailing address

7612 Shepherdsville Rd
Louisville, KY 40219-2963
Phone (502) 968-6226

Other identifiers 1

IdentifierTypeStateIssuer
65943383MedicaidKY

Other names 1

  • Jewish Hospital FPA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jewish Hospital Healthcar22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

7612 Shepherdsville Rd
Louisville, KY 40219
Phone (502) 361-6738

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699757559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7612 SHEPHERDSVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402192963",
            "telephone_number": "502-968-6226",
            "fax_number": "502-966-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7612 SHEPHERDSVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402192963",
            "telephone_number": "502-968-6226",
            "fax_number": "502-966-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOSPITAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSTOCK",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-262-4160"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65943383",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jewish Hospital FPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.