Preston Urgent Care, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PRESTON URGENT CARE, INC

Practice address

4822 Preston Hwy
Louisville, KY 40213-2226

Phone

(502) 969-2227

Fax

(502) 587-0390

NPI assigned

Mar 21, 2017

Organization subpart

No

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

Authorized official

Name

Miss Misha Haq

Title

MD

Phone

(502) 969-2227

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdul Haq, MD

  • Pediatrics Physician
  • Louisville, KY
  • NPI 1922171636
  Medicare reassignment NPD
• Akasha Haq, MD

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1730252453
  Medicare reassignment NPD
• Tammy Johnson, APRN

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1780157057
  NPD (past)
• Keisha Nichole Todd, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Lexington, KY
  • NPI 1376193250
  NPD (past)

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1780115998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402132226",
            "telephone_number": "502-969-2227",
            "fax_number": "502-587-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402132226",
            "telephone_number": "502-969-2227",
            "fax_number": "502-587-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "MISHA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "502-969-2227",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "33462",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "32576",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "33462",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "32576",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preston Highway Oral Surgery PLLC (Derby City Oral Surgery)
• Preston Medical Center
• Preston Medical Center, LLC
• Preston Spa LLC (CoffeeSpa)
• Preston Station Occupational Health Services, PSC (River City Health Services)
• Felicia Preston
• Geoffrey Oliver Preston, LCSW
• Sanja Murga Preston, LCSW
• Carter Gentry Prewitt
• Katelynn Prewitt, APRN

• Urgent Care Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Urgent Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.