Organization Active NPI

Nanncoh LLC

  • Addiction Medicine (Family Medicine) Physician
  • Louisville, KY
National Provider Identifier
1891294336
Registry record updated Feb 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
NANNCOH LLC
Practice address
700 Envoy Cir Ste 702
Louisville, KY 40299-1812
Phone
(502) 551-2460
Fax
(502) 896-6977
NPI assigned
Feb 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2018

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

Authorized official

Name
Mr. Bruce M Cohen
Title
President
Phone
(502) 551-2460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

700 Envoy Cir Ste 702
Louisville, KY 40299-1812

Mailing address

700 Envoy Cir Ste 702
Louisville, KY 40299-1812
Phone (502) 551-2460

National Provider Directory

National Provider Directory

Locations

700 Envoy Cir
Ste 702
Louisville, KY 40299
Phone (502) 551-2460

NPI Registry JSON

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

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518307200000",
    "number": "1891294336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ENVOY CIR STE 702",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991812",
            "telephone_number": "502-551-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ENVOY CIR STE 702",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991812",
            "telephone_number": "502-551-2460",
            "fax_number": "502-896-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANNCOH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-11",
        "last_updated": "2018-02-11",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-551-2460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "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 Feb 11, 2018; 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.