Organization Active NPI

Carena Physicians Kentucky, Inc.

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1922277169
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARENA PHYSICIANS KENTUCKY, INC.
Practice address
12700 Shelbyville Rd
The Danville Building
Louisville, KY 40243-1576
Phone
(502) 614-6229
NPI assigned
Feb 21, 2008
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CARENA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. Lyle G. Bohlman, M.D.
Title
Regional Medical Director
Phone
(502) 614-6229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

12700 Shelbyville Rd
The Danville Building
Louisville, KY 40243-1576

Mailing address

12700 Shelbyville Rd
The Danville Building
Louisville, KY 40243-1576
Phone (502) 614-6229

National Provider Directory

National Provider Directory

Locations

12700 Shelbyville Rd
The Danville BLDG
Louisville, KY 40243
Phone (502) 614-6229

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1922277169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SHELBYVILLE RD",
            "address_2": "THE DANVILLE BUILDING",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431576",
            "telephone_number": "502-614-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SHELBYVILLE RD",
            "address_2": "THE DANVILLE BUILDING",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431576",
            "telephone_number": "502-614-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARENA PHYSICIANS KENTUCKY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARENA, INC.",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "BOHLMAN",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "REGIONAL MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "502-614-6229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "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 25, 2008; 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.