COMMUNITY MEDICAL ASSOCIATES INC. NPI 1306983762

NPI Information

NPI: 1306983762
Provider Name: COMMUNITY MEDICAL ASSOCIATES, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY
ZIP 40241
Phone: (502) 588-9490
Get Directions

COMMUNITY MEDICAL ASSOCIATES, INC. is a multi-specialty clinic center in Louisville, KY. COMMUNITY MEDICAL ASSOCIATES, INC. NPI is 1306983762. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY
ZIP 40241-068
Phone: (502) 588-9490
Fax: (502) 272-5116

The provider's authorized official is Shelley Gast .
The authorized official title is Vp Managed Care and has the following contact phone number (502) 588-9490.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 4/3/2023.

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	Primary
1	103G00000X	Clinical Neuropsychologist		No
2	103TC0700X	Psychologist	Clinical	No
3	261Q00000X	Clinic/Center		No
4	261QU0200X	Clinic/Center	Urgent Care	No
5	363A00000X	Physician Assistant		No
6	363AM0700X	Physician Assistant	Medical	No
7	363AS0400X	Physician Assistant	Surgical	No
8	363L00000X	Nurse Practitioner		No
9	363LA2100X	Nurse Practitioner	Acute Care	No
10	363LA2200X	Nurse Practitioner	Adult Health	No
11	363LF0000X	Nurse Practitioner	Family	No
12	363LP0200X	Nurse Practitioner	Pediatrics	No
13	261QM1300X	Clinic/Center	Multi-Specialty	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
1	1003882650	MEDICAID	INDIANA
2	65946279	MEDICAID	KENTUCKY
3	65945693	MEDICAID	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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