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EUGENE GILES SR MD PSC NPI 1629153705


NPI Information

NPI: 1629153705
Provider Name: EUGENE GILES SR MD PSC

Doing Business As: OMNI MEDICAL CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2746 VIRGINIA AVE
LOUISVILLE, KY
ZIP 40211
Phone: (502) 776-1177
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EUGENE GILES SR MD PSC is an internal medicine in Louisville, KY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EUGENE GILES SR MD PSC NPI is 1629153705. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Omni Medical Center.

The provider's business location address is:

2746 VIRGINIA AVE
LOUISVILLE, KY
ZIP 40211-417
Phone: (502) 776-1177
Fax: (502) 772-1761

The provider's authorized official is Eugene Giles .
The authorized official title is Solo Member Owner and has the following contact phone number (502) 776-1177.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 2/24/2009.


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
1207Q00000XFamily Medicine22657KENTUCKYNo
2207R00000XInternal Medicine22657KENTUCKYYes

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
1000000062872OTHERKENTUCKYANTHEM
264226574MEDICAIDKENTUCKY
30400136OTHERUNITED HEALTHCARE
41049423OTHERKENTUCKYPASSPORT
5C78371MEDICARE UPIN
6DD6406MEDICARE PIN
73200MEDICARE PIN

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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