OrganizationUniversity Medical AssociatesInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address401 E Chestnut Street, Ste 310, Louisville, KY 40202(502) 589-4856PECOS EnrollmentBased on the most recent information from CMS, provider University Medical Associates does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1417902925Provider TypeOrganizationFull NameUniversity Medical AssociatesSubpartNoEnumeration Date5/23/2006Last Updated12/22/2010Contact InformationPractice LocationPractice Address401 E Chestnut Street, Ste 310, Louisville, KY 40202Phone(502) 589-4856Fax(502) 589-5093Mailing LocationMailing Address501 E Broadway, Ste 200, Louisville, KY 40202Phone(502) 589-4856Fax(502) 589-5093Authorized OfficialNameSnawder, Timothy E (Business Office Director)Phone(502) 589-4856Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode103T00000XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID65902447DescriptionMedicaidIssuerUnlistedKentuckyID100003580DescriptionMedicaidIssuerUnlistedIndiana