Community Medical Associates, INC.
Psychiatry & Neurology, Neurology in Louisville, KY. Organization (NPI-2).
NPI number1922506823
StatusActive
Last updated in NPPESSep 21, 2021
Details
- NPI
- 1922506823
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Medical Associates, INC.
- Organization subpart
- No
- Enumeration date
- Jan 25, 2018
- Certification date
- Sep 21, 2021
- Last updated
- Sep 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363LG0600X | Nurse Practitioner, Gerontology | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | |
| 103G00000X | Clinical Neuropsychologist | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | |
| 2084N0600X | – | – | ||
| 208VP0000X | – | – | ||
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 207RG0300X | Internal Medicine, Geriatric Medicine | – | – | |
| 207T00000X | Neurological Surgery | – | – |
Other names
- Norton Neurology Services (Doing Business As)
Practice location
4803 Olympia Park Plz Ste 1100Louisville, KY 40241-3068
Phone 502-272-5165 · Fax 502-272-5339
Mailing address
Po Box 776351Chicago, IL 60677-6351
Phone 502-272-5165 · Fax 502-272-5339
Authorized official
Shelley Gast
Vp Managed Care
5022725165
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