Active NPI
Louisville Vascular Care LLC
- Nephrology Physician
- Louisville, KY
National Provider Identifier
1932524386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- LOUISVILLE VASCULAR CARE LLC
- Practice address
- 645 S Roy Wilkins Ave
Louisville, KY 40203-2072 - Phone
- (502) 208-1036
- NPI assigned
- Feb 21, 2014
- Last updated
- Mar 1, 2023
- 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
- Lisa McNamara
- Title
- Executive Vice President
- Phone
- (239) 597-2010
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X |
Addresses
Primary practice location
645 S Roy Wilkins Ave
Louisville, KY 40203-2072
Mailing address
9140 Corsea del Fontana Way
Naples, FL 34109-4397
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677628800000",
"number": "1932524386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9140 CORSEA DEL FONTANA WAY",
"city": "NAPLES",
"state": "FL",
"postal_code": "341094397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 S ROY WILKINS AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032072",
"telephone_number": "502-208-1036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISVILLE VASCULAR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-21",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A",
"authorized_official_last_name": "MCNAMARA",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "239-597-2010"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Louisville Vamc
- Louisville Vamc
- Louisville Vamc
- Louisville Vamc
- Louisville Vamc
- Louisville Veterans Hospital
- Louisville Wound Care Associates PSC
- Louisville-Jefferson County Metro Government (Louisville Metro Depart of Public Health & Wellness-Healthy Child Care)
- Louisville-Jefferson County Metro Government (Louisville Metro Department of Public Health and Wellness - NP -TJ)
- Louisville-Jefferson County Metro Government (Louisville Metro Depart of Public Health & Wellness - NJ South Central)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.