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LOUISVILLE GERIATRIC ASSOCIATES NPI 1922337617


NPI Information

NPI: 1922337617
Provider Name: LOUISVILLE GERIATRIC ASSOCIATES

Doing Business As: WALL STREET MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 15D2175698

Address:
443 SPRING ST STE 200
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 288-8360
Get Directions

LOUISVILLE GERIATRIC ASSOCIATES is an internal medicine in Jeffersonville, IN. 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. LOUISVILLE GERIATRIC ASSOCIATES NPI is 1922337617. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wall Street Medical Group.

The provider's business location address is:

443 SPRING ST STE 200
JEFFERSONVILLE, IN
ZIP 47130-494
Phone: (812) 288-8360
Fax: (812) 288-8375

The provider's authorized official is Muhammad I Masroor .
The authorized official title is Owner and has the following contact phone number (812) 288-8360.

The CLIA number assigned to this NPI record is 15D2175698 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2009 and was last updated on 8/20/2020.


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
1363L00000XNurse PractitionerNo
2363LF0000XNurse PractitionerFamilyNo
3207R00000XInternal 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
1300025251MEDICAIDINDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.