Active NPI
Pearl Medical Practice PLLC
Doing business as New Dawn Recovery Services
- Community/Behavioral Health Agency
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PEARL MEDICAL PRACTICE PLLC
- Doing business as
- New Dawn Recovery Services
- Practice address
- 2615 Dixie Hwy
Louisville, KY 40216-5203 - Phone
- (502) 338-2964
- NPI assigned
- Dec 10, 2024
- Organization subpart
- Yes
- Parent organization
- PEARL MEDICAL PRACTICE PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Osawaru Omoruyi, MD
- Title
- Ceo
- Phone
- (502) 456-0494
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2615 Dixie Hwy
Louisville, KY 40216-5203
Mailing address
2202 Buechel Ave
Louisville, KY 40218-2672
Phone (502) 456-0494
Other names 1
- New Dawn Recovery Services
National Provider Directory
National Provider Directory- Tax ID family
- Pearl Geriatrics and Palliative Medicine PSC
- Part of
- Pearl Geriatrics and Palliative Medicine PSC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Geriatric Medicine (Internal Medicine) Physician
- Louisville, KY
- NPI 1376865972
-
- Primary Care Clinic/Center
- Louisville, KY
- NPI 1669841631
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Louisville, KY
- NPI 1396961967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1720894140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 BUECHEL AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402182672",
"telephone_number": "502-456-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 DIXIE HWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402165203",
"telephone_number": "502-338-2964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARL MEDICAL PRACTICE PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PEARL MEDICAL PRACTICE PLLC",
"enumeration_date": "2024-12-10",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "OMORUYI",
"authorized_official_first_name": "OSAWARU",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "502-456-0494",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Dawn Recovery Services",
"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 Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.