Organization Active NPI

Pediatric Prompt Care

  • Urgent Care Clinic/Center
  • Louisville, KY
National Provider Identifier
1740451061
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
32419 Issued in KY
Legal business name
PEDIATRIC PROMPT CARE
Practice address
4030 Whiteblossom Estates CT
Louisville, KY 40241-4183
Phone
(502) 425-4397
NPI assigned
Mar 13, 2008
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Richard Anthony Boada, M.D.
Title
Owner
Phone
(502) 587-0394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 32419 KY Primary

Addresses

Primary practice location

4030 Whiteblossom Estates CT
Louisville, KY 40241-4183

Mailing address

219 E Broadway
Louisville, KY 40202-2007
Phone (502) 587-0394

National Provider Directory

National Provider Directory

Locations

219 E Broadway
Louisville, KY 40202
Phone (502) 587-0394

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.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1740451061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022007",
            "telephone_number": "502-587-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 WHITEBLOSSOM ESTATES CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402414183",
            "telephone_number": "502-425-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PROMPT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "BOADA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-587-0394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "KY",
            "license": "32419",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 13, 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.