Active NPI
Infinity Healthcare Systems LLC
- Family Medicine Physician
- Louisville, KY
National Provider Identifier
1841670734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- INFINITY HEALTHCARE SYSTEMS LLC
- Practice address
- 912 Dupont Rd
Louisville, KY 40207-4602 - Phone
- (502) 297-8555
- Fax
- (502) 297-8551
- NPI assigned
- Jun 4, 2015
- 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
- Jeffery Campbell, MD
- Title
- Owner
- Phone
- (812) 288-2488
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | IN | ||
| Physical Therapist | 225100000X | KY | ||
| Family Nurse Practitioner | 363LF0000X | KY |
Addresses
Primary practice location
912 Dupont Rd
Louisville, KY 40207-4602
Mailing address
912 Dupont Rd
Louisville, KY 40207-4602
Phone (502) 297-8555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201340090 | Medicaid | IN | |
| 7100399040 | Medicaid | KY | |
| 7100392710 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
912 DuPont Rd
Louisville, KY 40207
Phone (502) 297-8555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468886400000",
"number": "1841670734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 DUPONT RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074602",
"telephone_number": "502-297-8555",
"fax_number": "502-297-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 DUPONT RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074602",
"telephone_number": "502-297-8555",
"fax_number": "502-297-8551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINITY HEALTHCARE SYSTEMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-04",
"last_updated": "2016-07-19",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "JEFFERY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-288-2488",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201340090",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100399040",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100392710",
"state": "KY"
}
],
"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 Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.