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MARKERT FAMILY PRACTICE PSC NPI 1174681977


NPI Information

NPI: 1174681977
Provider Name: MARKERT FAMILY PRACTICE PSC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 18D0321827

Address:
1169 EASTERN PKWY STE 2265
LOUISVILLE, KY
ZIP 40217
Phone: (502) 635-7455
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MARKERT FAMILY PRACTICE PSC 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. MARKERT FAMILY PRACTICE PSC NPI is 1174681977. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1169 EASTERN PKWY STE 2265
LOUISVILLE, KY
ZIP 40217-479
Phone: (502) 635-7455
Fax: (502) 634-9296

The provider's authorized official is Sara E Herp .
The authorized official title is Office Manager and has the following contact phone number (502) 635-7455.

The CLIA number assigned to this NPI record is 18D0321827 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 12/4/2020.


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
1207Q00000XFamily 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
1F7785OTHERKENTUCKYMEDICARE ID TYPE UNSPECIF

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: 5/5/2024

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