DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: OLDHAM COUNTY EMERGENCY PHYSICIANS, LLC

MEDICARE: OLDHAM COUNTY EMERGENCY PHYSICIANS, LLC
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
1363A00000XPhysician Assistant
2207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1508726035
Entity Type Code : Organization
Provider Name (Legal Business Name) : OLDHAM COUNTY EMERGENCY PHYSICIANS, LLC
Provider Business Mailing Address
First Line : 5665 NEW NORTHSIDE DR
Second Line :
City : ATLANTA
State : GA
Zip : 30328-5831
Country : US
Telephone Number : 770-874-5400
Fax Number :
Provider Business Practice Location Address
First Line : 1025 NEW MOODY LN
Second Line :
City : LA GRANGE
State : KY
Zip : 40031-9154
Country : US
Telephone Number : 502-222-5388
Fax Number :
Authorized Official
Title or Position : VP , CREDENTIALING
Name : KIM LARSEN
Credential :
Telephone Number : 770-874-5400
Provider Enumeration Date : 11/17/2025
Last Update Date : 03/13/2026

Similar Medicare Providers

1659696912 — ANDREA D. GERMOND M.D.
Practice Location Address:
1101 MEDICARE CTR. BLVD. , HOSPITALIST DEPARTMENT
MARRERO, LA
70072
Practice Phone: 504-349-1656
Practice Fax: 504-349-1933
1669420063 — NORTHEAST JOINT VENTURE, LLC
Practice Location Address:
1025 NEW MOODY LN
LA GRANGE, KY
40031-9154
Practice Phone: 502-222-3316
Practice Fax: 502-222-3411
1841240090 — OAK TREE HOSPITAL AT BAPTIST NORTHEAST, LLC
Practice Location Address:
1025 NEW MOODY LN
LA GRANGE, KY
40031-9154
Practice Phone: 502-222-8506
Practice Fax: 502-222-8526
1619923802 — DR. RONALD L CRAFTON MD
Practice Location Address:
1025 NEW MOODY LN
LA GRANGE, KY
40031-9154
Practice Phone: 502-222-3347
Practice Fax: 502-222-3634
1306887633 — DR. MICHAEL R LAWRENCE MD
Practice Location Address:
1025 NEW MOODY LN
LA GRANGE, KY
40031-9154
Practice Phone: 502-222-3347
Practice Fax: 502-222-3634
1508802950 — KENNETH E GREEN MD
Practice Location Address:
1025 NEW MOODY LN
LA GRANGE, KY
40031-9154
Practice Phone: 502-222-0598
Practice Fax: 502-222-7446

Directions to “OLDHAM COUNTY EMERGENCY PHYSICIANS, LLC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.