PREMISE HEALTH OF TENNESSEE MEDICAL P.C NPI 1538595475

NPI Information

  • NPI: 1538595475
  • Provider Name: PREMISE HEALTH OF TENNESSEE MEDICAL, P.C
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: PARK WELL CARE CENTER
  • Address: 4000 BUECHEL BANK RD
    APPLIANCE PARK AP4-100 MEDICAL
    LOUISVILLE, KY
    ZIP 40225
  • Phone: (502) 452-0777

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NPI Details

PREMISE HEALTH OF TENNESSEE MEDICAL, P.C is a clinic center in Louisville, KY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PREMISE HEALTH OF TENNESSEE MEDICAL, P.C NPI is 1538595475. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Well Care Center.

The provider's business location address is:

4000 BUECHEL BANK RD
APPLIANCE PARK AP4-100 MEDICAL
LOUISVILLE, KY
ZIP 40225-001
Phone: (502) 452-0777
Fax: (502) 452-0708

The provider's authorized official is Jonathan B Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The enumeration date for this NPI number is 9/24/2013 and was last updated on 9/15/2022.

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
1261Q00000XClinic/CenterYes

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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