Organization Active NPI

Endocrine Associates PSC

  • Endocrinology, Diabetes & Metabolism Physician
  • Louisville, KY
National Provider Identifier
1770623878
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINE ASSOCIATES PSC
Practice address
3906 S Dupont SQ
Louisville, KY 40207-4647
Phone
(502) 895-8218
Fax
(502) 895-8219
NPI assigned
Feb 7, 2007
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Donald G Wood, MD
Title
Owner
Phone
(502) 895-8218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X KY Primary

Addresses

Primary practice location

3906 S Dupont SQ
Louisville, KY 40207-4647

Mailing address

3906 S Dupont SQ
Louisville, KY 40207-4647
Phone (502) 895-8218

National Provider Directory

National Provider Directory

Locations

1239 Woodland Dr
Ste 106
Elizabethtown, KY 42701
Phone (270) 360-0851

3606 Klondike Ln
Louisville, KY 40218
Phone (502) 451-3931

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1770623878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 S DUPONT SQ",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074647",
            "telephone_number": "502-895-8218",
            "fax_number": "502-895-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 S DUPONT SQ",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074647",
            "telephone_number": "502-895-8218",
            "fax_number": "502-895-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-895-8218",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": null,
            "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 Apr 18, 2012; 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.