DIXIE PRIMARY CARE LLC NPI 1053645572

NPI Information

  • NPI: 1053645572
  • Provider Name: DIXIE PRIMARY CARE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 8033 DIXIE HWY
    LOUISVILLE, KY
    ZIP 40258
  • Phone: (502) 937-3155

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NPI Details

DIXIE PRIMARY CARE LLC is a family medicine in Louisville, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DIXIE PRIMARY CARE LLC NPI is 1053645572. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8033 DIXIE HWY
LOUISVILLE, KY
ZIP 40258-344
Phone: (502) 937-3155
Fax: (502) 935-0743

The provider's authorized official is Victor Shpilberg .
The authorized official title is Owner and has the following contact phone number (502) 937-3155.

The enumeration date for this NPI number is 9/30/2009 and was last updated on 1/11/2010.

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
1363L00000XNurse PractitionerNo
2363A00000XPhysician AssistantNo
3207Q00000XFamily 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101150MEDICARE PINKENTUCKY
218D1106923OTHERKENTUCKYCLIA

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: 11/21/2025

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