LOUISVILLE FAMILY & SPORTS MEDICINE PSC (NPI# 1184663015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184663015 |
| Entity Type | Organization |
| Organization Name | LOUISVILLE FAMILY & SPORTS MEDICINE PSC |
| Practice Address |
9420 Brownsboro Rd Louisville KY 40241-1118 |
| Practice Telephone | 5024264264 |
| Practice Fax Number | 4024264221 |
| Mailing Telephone | 5024264264 |
| Mailing Fax Number | 5024264221 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2011-03-28 |
| Authorized Official Name | GREGORY V POTTS (PRESIDENT) |
| Authorized Official Telephone | 5024264264 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BCBS-GP | 000000052203 | 01 |
| KY | ANTHM BCBS-ST | 000000346469 | 01 |
| KY | ANTHEM BCBS-CP | 000000052204 | 01 |
| KY | 6593237800 | 05 |
| Street Address |
9420 BROWNSBORO RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225371321 | Jesse Jenkins | Family Medicine | 9420 Brownsboro Rd, Louisville, KY 40241-1118 | 2013-03-27 |
| 1770736258 | Kali Edwards | Nurse Practitioner | 9420 Brownsboro Rd, Louisville, KY 40241-1118 | 2008-10-29 |
| 1336182450 | Gregory J. Potts | Family Medicine | 9420 Brownsboro Rd, Louisville, KY 40241-1118 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| 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 have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174566152 | Christopher V. Pitcock | Family Medicine | 2400 Eastpoint Pkwy Ste 110, Louisville, KY 40223-4154 | 2006-06-14 |
| 1881042505 | Jordan Patrick Hilgefort | Family Medicine | 215 Central Ave Ste 200, Louisville, KY 40208-1451 | 2016-06-03 |
| 1396176541 | University of Louisville Research Foundation | Family Medicine | 215 Central Ave, Suite 200, Louisville, KY 40208-1449 | 2013-12-12 |
| 1447516125 | University of Louisville Physicians, Inc. | Family Medicine | 215 Central Ave, Suite 102, Louisville, KY 40208-1449 | 2012-04-06 |
| 1396001012 | University of Louisville Research Foundation | Family Medicine | 215 Central Ave, Suite 200, Louisville, KY 40208-1449 | 2012-04-06 |
| 1144596164 | Neil Mahadev Patil | Family Medicine | 201 Abraham Flexner Way, Suite 100, Louisville, KY 40202-3841 | 2012-03-23 |
| 1770609125 | Paul B Mckee Iv | Family Medicine | 201 Abraham Flexner Way, Suite 100, Louisville, KY 40202-3841 | 2007-03-21 |
| 1285640896 | Igor Singer | Family Medicine | 3801 Springhurst Blvd, Suite 104, Louisville, KY 40241-6137 | 2006-08-01 |
| 1114953817 | Ryan Edward Modlinski | Family Medicine | 4123 Dutchmans Ln, Suite 401, Louisville, KY 40207-4707 | 2006-06-24 |
| 1336182450 | Gregory J. Potts | Family Medicine | 9420 Brownsboro Rd, Louisville, KY 40241-1118 | 2006-06-14 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
Please comment or provide details below to improve the information on LOUISVILLE FAMILY & SPORTS MEDICINE PSC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.