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UNIVERSITY FAMILY & GERIATRIC MEDICINE ASSOCIATES INC NPI 1043484652


NPI Information

NPI: 1043484652
Provider Name: UNIVERSITY FAMILY & GERIATRIC MEDICINE ASSOCIATES INC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
215 CENTRAL AVE
STE 102
LOUISVILLE, KY
ZIP 40208
Phone: (502) 852-7449
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UNIVERSITY FAMILY & GERIATRIC MEDICINE ASSOCIATES INC is a geriatric medicine family medicine in Louisville, KY. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. UNIVERSITY FAMILY & GERIATRIC MEDICINE ASSOCIATES INC NPI is 1043484652. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

215 CENTRAL AVE
STE 102
LOUISVILLE, KY
ZIP 40208-418
Phone: (502) 852-7449
Fax: (502) 852-1423

The provider's authorized official is James G. O'brien .
The authorized official title is Department Chair and has the following contact phone number (502) 852-8498.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 11/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207QG0300XFamily MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100694MEDICARE PINKENTUCKY
27100039550MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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