NOVA PHYSICIAN GROUP PLLC NPI 1346097102

NPI Information

  • NPI: 1346097102
  • Provider Name: NOVA PHYSICIAN GROUP PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1731 DIXIE HWY
    LOUISVILLE, KY
    ZIP 40210
  • Phone: (502) 444-6016

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NPI Details

NOVA PHYSICIAN GROUP PLLC is a primary care clinic center in Louisville, KY. NOVA PHYSICIAN GROUP PLLC NPI is 1346097102. The provider is registered as an organization entity type.

The provider's business location address is:

1731 DIXIE HWY
LOUISVILLE, KY
ZIP 40210-313
Phone: (502) 444-6016
Fax: (502) 586-7178

The provider's authorized official is Terrence Morton .
The authorized official title is Sr. Medical Director and has the following contact phone number (773) 733-9730.

The enumeration date for this NPI number is 5/1/2024 and was last updated on 5/1/2024.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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