INTERNAL MEDICINE CONSULTANTS PLLC NPI 1255582755

NPI Information

NPI: 1255582755
Provider Name: INTERNAL MEDICINE CONSULTANTS, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
234 E GRAY ST STE 670
LOUISVILLE, KY
ZIP 40202
Phone: (502) 629-4525
Get Directions

INTERNAL MEDICINE CONSULTANTS, PLLC is a family nurse practitioner in Louisville, KY. INTERNAL MEDICINE CONSULTANTS, PLLC NPI is 1255582755. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

234 E GRAY ST STE 670
LOUISVILLE, KY
ZIP 40202-901
Phone: (502) 629-4525
Fax: (502) 629-4529

The provider's authorized official is Juan G Polo .
The authorized official title is Physician and has the following contact phone number (502) 629-4525.

The enumeration date for this NPI number is 10/2/2008 and was last updated on 6/16/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	363LF0000X	Nurse Practitioner	Family	3008115	KENTUCKY	No
3	207R00000X	Internal Medicine		36067	KENTUCKY	No
4	363LF0000X	Nurse Practitioner	Family	3006356	KENTUCKY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1128116	OTHER	KENTUCKY	PAAAPORT
2	1952399669	MEDICARE NSC	KENTUCKY

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

NPI Synchronization or Removal

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