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NPI Code Detail

MEDICARE: LOUISVILLE GERIATRIC ASSOCIATES

MEDICARE: LOUISVILLE GERIATRIC ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner
2363LF0000XFamily Nurse Practitioner
3363LP0200XPediatric Nurse Practitioner
4207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922337617
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUISVILLE GERIATRIC ASSOCIATES
Provider Business Mailing Address
First Line : 443 SPRING ST STE 200
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-4494
Country : US
Telephone Number : 812-288-8360
Fax Number : 812-288-8375
Provider Business Practice Location Address
First Line : 443 SPRING ST STE 200
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-4494
Country : US
Telephone Number : 812-288-8360
Fax Number : 812-288-8375
Authorized Official
Title or Position : OWNER
Name : MUHAMMAD I MASROOR
Credential :
Telephone Number : 812-288-8360
Provider Enumeration Date : 12/09/2009
Last Update Date : 07/17/2024

Similar Medicare Providers

1588023675 — STACY M MCBRIDE APRN
Practice Location Address:
443 SPRING ST STE 200
JEFFERSONVILLE, IN
47130-4494
Practice Phone: 812-288-8360
Practice Fax: 812-288-8375
1043216971 — MUHAMMAD I MASROOR M.D.
Practice Location Address:
443 SPRING ST STE 200
JEFFERSONVILLE, IN
47130-4494
Practice Phone: 812-288-8360
Practice Fax: 812-288-8375
1871508614 — LOUISVILLE GERIATRIC ASSOCIATES
Practice Location Address:
443 SPRING ST STE 200
JEFFERSONVILLE, IN
47130-4494
Practice Phone: 812-288-8360
Practice Fax: 812-288-8375
1063595452 — DR. JOSE SALVILLA BADA M.D.
Practice Location Address:
443 SPRING ST STE 200
JEFFERSONVILLE, IN
47130-4494
Practice Phone: 812-288-8360
Practice Fax: 812-288-8375
1053441444 — VIRGINIA L NISBET NP-C
Practice Location Address:
443 SPRING ST STE 200
JEFFERSONVILLE, IN
47130-4494
Practice Phone: 812-288-8360
Practice Fax: 812-288-8375
1598105660 — BROOKE ANN MILLER APRN
Practice Location Address:
443 SPRING ST STE 200
JEFFERSONVILLE, IN
47130-4494
Practice Phone: 812-288-8360
Practice Fax: 812-288-8375

Directions to “LOUISVILLE GERIATRIC ASSOCIATES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.