Active NPI
PMR Ky Holding, LLC
- Specialist
- Louisville, KY
National Provider Identifier
1780950295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101249721
- Legal business name
- PMR KY HOLDING, LLC
- Practice address
- 8019 Dixie Hwy
Ste 101
Louisville, KY 40258-1344 - Phone
- (305) 653-1770
- Fax
- (305) 650-0674
- NPI assigned
- Mar 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christopher J Chen, M.D.
- Title
- Owner
- Phone
- (305) 653-1770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101249721 | VA | Primary |
Addresses
Primary practice location
8019 Dixie Hwy
Ste 101
Louisville, KY 40258-1344
Mailing address
20801 NW 2ND Ave
Miami, FL 33169-2103
Phone (305) 653-1770
National Provider Directory
National Provider Directory- Tax ID family
- PMR Ky Holding LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Miami Gardens, FL
- NPI 1740737709
Locations
8019 Dixie Hwy
Ste 101
Louisville, KY 40258
Phone (502) 333-3121
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community/Retail Pharmacy
- Louisville, KY
- NPI 1083197388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338249600000",
"number": "1780950295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20801 NW 2ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331692103",
"telephone_number": "305-653-1770",
"fax_number": "305-653-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8019 DIXIE HWY",
"address_2": "STE 101",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402581344",
"telephone_number": "305-653-1770",
"fax_number": "305-650-0674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PMR KY HOLDING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-29",
"last_updated": "2012-05-29",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-653-1770",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "VA",
"license": "0101249721",
"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 May 29, 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.