Organization Active NPI

Promptcare Physician Group PLLC

  • Urgent Care Clinic/Center
  • Louisville, KY
National Provider Identifier
1720009665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PROMPTCARE PHYSICIAN GROUP PLLC
Practice address
3215 Westport Green PL
Louisville, KY 40241-3135
Phone
(502) 412-1112
Fax
(502) 357-0606
NPI assigned
Jul 23, 2006
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
Ms. Tonya Lynn Shanks
Title
Manger
Phone
(502) 412-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3215 Westport Green PL
Louisville, KY 40241-3135

Mailing address

3215 Westport Green PL
Louisville, KY 40241-3135
Phone (502) 412-1112

Other identifiers 1

IdentifierTypeStateIssuer
000000061352OtherKYANTHEM BSBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720009665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 WESTPORT GREEN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413135",
            "telephone_number": "502-412-1112",
            "fax_number": "502-357-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 WESTPORT GREEN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413135",
            "telephone_number": "502-412-1112",
            "fax_number": "502-357-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMPTCARE PHYSICIAN GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANKS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "502-412-1112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BSBS",
            "identifier": "000000061352",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.