Diversified Patient Resources, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

DIVERSIFIED PATIENT RESOURCES, INC.

Practice address

2547 Dell Rd
Louisville, KY 40205-2309

Phone

(502) 452-2069

Fax

(502) 937-7188

NPI assigned

Nov 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David L. Brown

Title

President

Phone

(502) 452-2069

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780751487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 DELL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052309",
            "telephone_number": "502-452-2069",
            "fax_number": "502-937-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 DELL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052309",
            "telephone_number": "502-452-2069",
            "fax_number": "502-937-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED PATIENT RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-452-2069",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark W Distler, M.D.
• Walter David Distler, DMD
• Kathleen Ann Dively, ARNP
• Diversicare Highlands, LLC (Highlands Health and Rehabilitation Center)
• Diversicare of Seneca Place LLC (Diversicare of Seneca Place)
• Divine Care
• Divine Residential Care Services
• Divine Steps Inc.
• Divine Steps Inc.
• Marissa Grace Dix, BS, RBT

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

• 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.