Onrequest Louisville LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ONREQUEST LOUISVILLE LLC

Practice address

10200 Forest Green Blvd Ste 112
Louisville, KY 40223-5167

Phone

(502) 901-2190

NPI assigned

Feb 21, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Robert Gary Pope, MD

Title

Medical Director

Phone

(239) 908-7775

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1841055571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 FOREST GREEN BLVD STE 112",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235167",
            "telephone_number": "502-901-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 FOREST GREEN BLVD STE 112",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235167",
            "telephone_number": "502-901-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONREQUEST LOUISVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-908-7775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.