LOUISVILLE PATIENT CENTERED MEDICAL HOME PSC NPI 1265604763

NPI Information

  • NPI: 1265604763
  • Provider Name: LOUISVILLE PATIENT CENTERED MEDICAL HOME, PSC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 4010 DUPONT CIR
    SUITE 308
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (502) 896-8041

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NPI Details

LOUISVILLE PATIENT CENTERED MEDICAL HOME, PSC is a family medicine in Louisville, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LOUISVILLE PATIENT CENTERED MEDICAL HOME, PSC NPI is 1265604763. The provider is registered as an organization entity type.

The provider's business location address is:

4010 DUPONT CIR
SUITE 308
LOUISVILLE, KY
ZIP 40207-812
Phone: (502) 896-8041
Fax: (502) 896-8044

The provider's authorized official is James D. Charasika .
The authorized official title is President/ceo and has the following contact phone number (502) 896-8041.

The enumeration date for this NPI number is 3/25/2008 and was last updated on 12/27/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care18988KENTUCKYNo
2207Q00000XFamily Medicine18988KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11043299514OTHERKENTUCKYNPI
2C64850MEDICARE UPINKENTUCKY

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: 3/30/2025

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