Louisville Family & Sports Medicine Psc in Louisville - Sports Medicine
Louisville Family & Sports Medicine Psc - NPI 1184663015
Louisville Family & Sports Medicine Psc is a Sports Medicine in Louisville, Kentucky. Louisville Family & Sports Medicine Psc practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Louisville Family & Sports Medicine Psc is 1184663015. The last update date is 2011-03-28.
Louisville Family & Sports Medicine Psc's current location address is 9420 Brownsboro Rd, Louisville, Kentucky. You can contact this provider via phone number 5024264264 and fax number 5024264221. The mailing address for Louisville Family & Sports Medicine Psc is 9420 Brownsboro Rd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Louisville Family & Sports Medicine Psc |
|---|---|
| Address | 9420 Brownsboro Rd, Louisville, Kentucky |
| Phone Number | 5024264264 |
| Fax Number | 5024264221 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Potts V Gregory |
| Credentials | M.D. |
| Telephone Number | 5024264264 |
NPI Number Detail
| NPI Number | 1184663015 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2011-03-28 |
Provider Mailing Address Detail
| Address | 9420 Brownsboro Rd |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402411118 |
| Phone Number | 5024264264 |
| Fax Number | 5024264221 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 346469 | KY | ANTHM BCBS-ST | |
| 6593237800 | KY | -- | |
| 52204 | KY | ANTHEM BCBS-CP | |
| 52203 | KY | ANTHEM BCBS-GP |
Post Comment/ Review Below
What is the unique identification code assigned to Louisville Family & Sports Medicine Psc by the Centers for Medicare & Medicaid Services?
The Louisville Family & Sports Medicine Psc has been issued the NPI (National Provider Identifier) 1184663015. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Louisville Family & Sports Medicine Psc's facilities are situated?
The facilities of Louisville Family & Sports Medicine Psc are physically located at the following address: 9420 Brownsboro Rd, Louisville, KY, 402411118.
What is the Louisville Family & Sports Medicine Psc's specialty and taxonomy code?
The Louisville Family & Sports Medicine Psc's specialty is Sports Medicine, and the corresponding taxonomy code is 207Qs0010X.
On what date did the Louisville Family & Sports Medicine Psc receive the assignment of its 1184663015 from the Centers for Medicare & Medicaid Services?
The Louisville Family & Sports Medicine Psc was issued its 1184663015 by the Centers for Medicare & Medicaid Services on 2006-06-06.
As of what date was the information pertaining to Louisville Family & Sports Medicine Psc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Louisville Family & Sports Medicine Psc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-03-28.