Organization Active NPI

GK Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
National Provider Identifier
1902085442
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GK MEDICAL INC
Practice address
4850 Brownsboro Ctr
Louisville, KY 40207-2381
Phone
(502) 899-9177
Fax
(502) 899-9178
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Gretchen Malone, COFNPI 1578531273
Title
Owner
Phone
(502) 899-9177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X CFO00523 KY

Addresses

Primary practice location

4850 Brownsboro Ctr
Louisville, KY 40207-2381

Mailing address

4850 Brownsboro Ctr
Louisville, KY 40207-2381
Phone (502) 899-9177

Other identifiers 2

IdentifierTypeStateIssuer
200414920MedicaidIN
90006156MedicaidKY

National Provider Directory

National Provider Directory

Locations

4850 Brownsboro Ctr
Louisville, KY 40207
Phone (502) 899-9177

4872 Brownsboro Ctr
Louisville, KY 40207
Phone (502) 468-9465

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1902085442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 BROWNSBORO CTR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072381",
            "telephone_number": "502-899-9177",
            "fax_number": "502-899-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 BROWNSBORO CTR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072381",
            "telephone_number": "502-899-9177",
            "fax_number": "502-899-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GK MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-899-9177",
        "authorized_official_credential": "COF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KY",
            "license": "CFO00523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200414920",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90006156",
            "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 May 8, 2013; 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.