NPI 1306983762 · live from the CMS NPI Registry
Community Medical Associates, INC.
Clinic/Center, Multi-Specialty in Louisville, KY. National Provider Identifier 1306983762, active.
NPI record
| NPI | 1306983762 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Multi-Specialty 261QM1300X |
| Practice location | 4803 Olympia Park Plz Ste 1100, Louisville, KY 40241 |
| Practice phone | 502-588-9490 |
| Mailing address | Po Box 776351, Chicago, IL 60677 |
| Enumerated | February 1, 2007 |
| Last updated | April 3, 2023 |
| Authorized official | Shelley Gast, Vp Managed Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist | 103G00000X | — |
| Psychologist, Clinical | 103TC0700X | — |
| Clinic/Center | 261Q00000X | — |
| Clinic/Center, Urgent Care | 261QU0200X | — |
| Physician Assistant | 363A00000X | — |
| Physician Assistant, Medical | 363AM0700X | — |
| Physician Assistant, Surgical | 363AS0400X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Acute Care | 363LA2100X | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Clinic/Center, Multi-Specialty primary | 261QM1300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.