Look up the most recent NPI and PECOS records

Louisville Medical Associates

Internal Medicine

Allopathic & Osteopathic Physicians

250 E Liberty St, Suite 700, Louisville, KY 40202

PECOS Enrollment

Based on the most recent information from CMS, provider Louisville Medical Associates does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1346429248
Provider Type
Organization
Full Name
Louisville Medical Associates

Subpart
No
Enumeration Date
10/26/2007
Last Updated
2/14/2008

Contact Information

Practice Location

250 E Liberty St, Suite 700, Louisville, KY 40202

(502) 589-3844

(502) 589-0516

Mailing Location

250 E Liberty St, Suite 700, Louisville, KY 40202

(502) 589-3844

(502) 589-0516

Authorized Official

Parker, B Frank (Doctor)

(502) 589-3844

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 24072 Kentucky
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 31274 Kentucky
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 32920 Kentucky
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1026637 Kentucky

Louisville Medical Associates

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Gabbard, Julian Glenn

Wijangco, Isabelita P

Chaudhary, Sirmad Bashir

Bricknell, Ryan Aziz Thomas

Elrod, Jeffrey Mark

Azabache Orrillo, Hilda Evelyn

Prebeck, Josh

Shah, Sidra Rehan

Currier, Alden Chase

Ivy, Kendra Nadine