MD2U PLLC (NPI# 1578576690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578576690 |
| Entity Type | Organization |
| Organization Name | MD2U PLLC |
| Other Organization Name | MD2U DOCTORS WHO MAKE HOUSE CALLS |
| Practice Address |
105 Crescent Ave Louisville KY 40206-1525 |
| Practice Telephone | 5023279100 |
| Practice Fax Number | 5027423767 |
| Mailing Telephone | 5023279100 |
| Mailing Fax Number | 5027423767 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2009-06-30 |
| Authorized Official Name | GREGORY DAVID LATTA (BILLING MANAGER) |
| Authorized Official Telephone | 5023279100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
01056286A | IN | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
38836 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BCBS PIN | 000000365262 | 01 |
| KY | 7100037890 | 05 | |
| KY | PASSPORT # | 50007387 | 01 |
| KY | PASSPORT ADVANTAGE # | 2448540000 | 01 |
| KY | RAILROAD MEDICARE PIN | DD3382 | 01 |
| Other Name | Type Code |
|---|---|
| MD2U Doctors Who Make House Calls | Other Name - Individual/Organization |
| Street Address |
105 CRESCENT AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40206-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494450 | Claudette F Jackson | Physician Assistant | 105 Crescent Ave, Louisville, KY 40206-1525 | 2005-08-19 |
| 1932484862 | Lorri Livers Houck, Pllc | Clinic/Center | 105 Crescent Ave, Louisville, KY 40206-1525 | 2011-10-11 |
| 1831487784 | Kentuckiana Mental Health Associates | Psychiatry & Neurology | 105 Crescent Ave, Louisville, KY 40206-1525 | 2011-07-13 |
| 1285716522 | David Lynn Hockensmith | Internal Medicine | 105 Crescent Ave, Louisville, KY 40206-1525 | 2006-10-19 |
| 1780643726 | Peter Michael Steiner | Psychiatry & Neurology | 105 Crescent Ave, Louisville, KY 40206-1525 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1023547460 | Jeffrey Obiora | Student in an Organized Health Care Education/Training Program | 500 South Preston St, Room 305, Lousiville, KY 40206 | 2017-06-08 |
| 1053840710 | Mary Oliver Humke | Lactation Consultant, Non-RN | 155 N Galt Ave, Louisville, KY 40206 | 2017-06-07 |
| 1417304908 | James Edward Meffert Sr. | Dentist | 1618 Story Ave. (home/office Setting), Louisville, KY 40206 | 2016-05-16 |
| 1235516527 | Jara Nashelle Vega Velez | Internal Medicine | 800 Zorn Ave Dept Of, Louisville, KY 40206 | 2015-05-06 |
| 1184058885 | Reba D Ziller | Occupational Therapist | 4604 Lowe Road, Regis Woods Rehab Center, Louisville, KY 40206 | 2013-08-29 |
| 1407109176 | Jessica L Hoback | Physical Therapy Assistant | 2141 Sycamore Avenue, Louisville, KY 40206 | 2012-10-18 |
| 1598039315 | Mary Barbara Sowers | Emergency Medicine | 611 Emery Rd, Louisville, KY 40206 | 2012-02-24 |
| 1053628479 | Adrian J Pellegrini Md | Nurse Practitioner | 170 Crescent Ave, Louisville, KY 40206 | 2010-09-07 |
| 1518297761 | Kiley Nontell Mcneill | Behavioral Analyst | 1100 East Market St., Louisville, KY 40206 | 2010-01-12 |
| Find all providers in zip 40206 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1679192611 | Temple Triage Pllc | Clinic/Center | 8209 Pennsylvania Run Rd, Louisville, KY 40228-2143 | 2020-04-09 |
| 1700323987 | Mills Medical Practices, LLC | Clinic/Center | 805 N Whittington Pkwy, Louisville, KY 40222-5186 | 2017-01-25 |
| 1801029822 | Southeast Alabama Regional Healthcare Authority | Clinic/Center | 31 Railroad Street, Louisville, AL 36048 | 2009-08-25 |
| 1538364716 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 1921 Topside Road, Louisville, TN 37777 | 2007-06-18 |
| 1962562884 | Ar Medical LLC | Clinic/Center | 809 Peachtree Street, Louisville, GA 30434-1449 | 2006-12-11 |
| 1831120401 | County of Clay | Clinic/Center | 935 Bryant St, Louisville, IL 62858-1053 | 2006-07-05 |
| 1427677160 | Louisville Family Care, Pllc | Clinic/Center | 6610 Bardstown Rd, Louisville, KY 40291-3045 | 2020-04-13 |
| 1336512680 | Sondra Kathleen Adkins | Clinic/Center | 4950 Norton Healthcare Blvd, Ste 305, Louisville, KY 40241-2845 | 2015-11-09 |
| 1265844781 | Convenient Care Family Medical | Clinic/Center | 11302 Preston Hwy, Suite 2, Louisville, KY 40229-2862 | 2014-06-02 |
| 1992122972 | Kaplan, Barron, Roth, Lehocky & Katz Psc | Clinic/Center | 3333 Bardstown Rd, Louisville, KY 40218-4613 | 2014-03-27 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40206 |
Please comment or provide details below to improve the information on MD2U PLLC.
| 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.