Community Medical Associates, INC.
Family Medicine in Louisville, KY. Organization (NPI-2).
NPI number1467818450
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1467818450
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Medical Associates, INC.
- Organization subpart
- No
- Enumeration date
- Jan 7, 2016
- Certification date
- Apr 3, 2023
- Last updated
- Apr 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 103G00000X | Clinical Neuropsychologist | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 261QR0207X | Clinic/Center, Radiology, Mobile Mammography | – | KY | |
| 363L00000X | Nurse Practitioner | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- Norton Prevention & Wellness (Doing Business As)
Practice location
4803 Olympia Park Plz Ste 1100Louisville, KY 40241-3068
Phone 502-588-9490 · Fax 502-272-5339
Mailing address
Po Box 776351Chicago, IL 60677-0202
Phone 502-588-9490 · Fax 502-272-5339
Authorized official
Shelley Gast
President
5025889490
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