NPIMap

Organization Active NPI

U of L Children'S Sleep Medicine

  • Pediatric Sleep Medicine Physician
  • Louisville, KY
National Provider Identifier
1740314541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X
Legal business name
U OF L CHILDREN'S SLEEP MEDICINE
Practice address
501 E Broadway Ste 280
Louisville, KY 40202-1785
Phone
(502) 852-1297
Fax
(502) 852-8556
NPI assigned
Mar 15, 2007
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
Janice C McCoy
Title
Account Coordinator
Phone
(502) 852-1297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sleep Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080S0012X Primary

Addresses

Primary practice location

501 E Broadway Ste 280
Louisville, KY 40202-1785

Mailing address

234 E Gray St Ste 568
Louisville, KY 40202-1914
Phone (502) 852-1297

Other identifiers 1

IdentifierTypeStateIssuer
65933384MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
U of L Primary Care Cen131 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

501 E Broadway
Ste 280
Louisville, KY 40202
Phone (502) 852-1297

234 E Gray St
Ste 568
Louisville, KY 40202
Phone (502) 585-1016

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740314541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E GRAY ST STE 568",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021914",
            "telephone_number": "502-852-1297",
            "fax_number": "502-852-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E BROADWAY STE 280",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021785",
            "telephone_number": "502-852-1297",
            "fax_number": "502-852-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U OF L CHILDREN'S SLEEP MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ACCOUNT COORDINATOR",
        "authorized_official_telephone_number": "502-852-1297"
    },
    "taxonomies": [
        {
            "code": "2080S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65933384",
            "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.