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COMMUNITY MEDICAL ASSOCIATES INC. NPI 1386904647


NPI Information

NPI: 1386904647
Provider Name: COMMUNITY MEDICAL ASSOCIATES, INC.
Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY
ZIP 40241
Phone: (502) 588-9490
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COMMUNITY MEDICAL ASSOCIATES, INC. is a sports medicine family medicine in Louisville, KY. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. COMMUNITY MEDICAL ASSOCIATES, INC. NPI is 1386904647. The provider is registered as an organization entity type and is a multiple single 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) 272-5339

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 5/21/2012 and was last updated on 8/15/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
4170300000XGenetic Counselor, MSKENTUCKYNo
52080S0010XPediatricsSports MedicineKENTUCKYNo
62083A0300XPreventive MedicineAddiction MedicineNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
82251X0800XPhysical TherapistOrthopedicNo
9363A00000XPhysician AssistantNo
10363L00000XNurse PractitionerKENTUCKYNo
11363LA2100XNurse PractitionerAcute CareNo
12363LA2200XNurse PractitionerAdult HealthNo
13363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
14207QS0010XFamily MedicineSports 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165928301MEDICAIDKENTUCKY

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

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