PRESTON MEDICAL CENTER (NPI# 1609269414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609269414 |
| Entity Type | Organization |
| Organization Name | PRESTON MEDICAL CENTER |
| Practice Address |
927 S 3rd St Louisville KY 40203-2215 |
| Practice Telephone | 5026142824 |
| Mailing Telephone | 5026142824 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |
| Authorized Official Name | DAVID WEBER (OWNER/CEO) |
| Authorized Official Telephone | 5026142824 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35882 | KY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | NPI | 1811921216 | 01 |
| Street Address |
927 S 3RD ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40203-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211738 | Integrated Health Systems LLC | Psychiatry & Neurology | 645 S Roy Wilkins Ave Ste 300, Louisville, KY 40203 | 2018-07-18 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1699296293 | Jennifer Christine Angermeier | Nurse Practitioner | 1130 W Chestnut St, Louisville, KY 40203 | 2017-07-05 |
| 1083162812 | Deloris Jean Johnson | Social Worker | 1022 South 6th Street, Louisville, KY 40203 | 2016-09-21 |
| 1770978512 | Michael Bricken | Pediatrics | 760 S Hancock St # B100, Louisville, KY 40203 | 2015-03-30 |
| 1770906885 | Jason Scott Underhill | Counselor | 214 E Breckinridge St, Louisville, KY 40203 | 2014-01-24 |
| 1316372592 | Tonya Alicia Clay | Marriage & Family Therapist | 1000 South 5th Street, Family & Children's Place, Louisville, KY 40203 | 2013-09-06 |
| 1780929216 | Harambee Health Center, Inc | Clinic/Center | 800 South Preston St., Louisville, KY 40203 | 2012-12-10 |
| 1083977276 | Synergy Rehabilitation, Inc. | Physical Therapist | 832 S. 6th Street, Suite C, Louisville, KY 40203 | 2012-06-21 |
| 1043572803 | Sonya Helen Mitchell | Counselor | 2225 W. Broadway, Louisville, KY 40203 | 2012-06-07 |
| Find all providers in zip 40203 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674797 | Sarah Cb Tucker | Specialist | 1169 Eastern Pkwy, Suite 2313, Louisville, KY 40217-1417 | 2020-03-18 |
| 1104457795 | David B. Beltz | Specialist | 6911 Ravenna Ave Ne, Louisville, OH 44641-4464 | 2020-01-31 |
| 1306480967 | Shawnas Monique Moore | Specialist | 3007 Dr William G Weathers Dr, Louisville, KY 40211-1891 | 2019-11-06 |
| 1083124366 | Kentuckiana Pain Specialist Ambulatory Surgery Center | Specialist | 3710 Chamberlain Ln Ste B, Louisville, KY 40241-2002 | 2017-10-02 |
| 1902345994 | Hps Kentucky LLC | Specialist | 444 Sourth First Street, Louisville, KY 40202 | 2017-02-23 |
| 1134578032 | Fernando Pajo Jr. | Specialist | 5007 Old Federal Rd, Louisville, KY 40207-1200 | 2016-06-10 |
| 1144616749 | James David Dorneman Jr. | Specialist | 4346 Bowling Blvd, Louisville, KY 40207-5405 | 2015-04-09 |
| 1821437468 | Cordelia Marie Devine | Specialist | 1100 Envoy Cir, Suite 1105, Louisville, KY 40299-1960 | 2013-06-17 |
| 1154765550 | Therapy Associates of Louisville, LLC | Specialist | 4810 Poplar Place Dr Ste 100, Louisville, KY 40213-2383 | 2013-04-29 |
| 1598005001 | Cyndi Fuller | Specialist | 1032 E South Boulder Rd, Room 206, Louisville, CO 80027-2565 | 2013-02-20 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40203 |
Please comment or provide details below to improve the information on PRESTON MEDICAL CENTER.
| 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.