MEDICARE: COMMONWEALTH INFECTIOUS DISEASE PSC

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
1	207RI0200X	Infectious Disease Physician	33270	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1649232026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMONWEALTH INFECTIOUS DISEASE PSC

Provider Business Mailing Address
First Line	:	PO BOX 32172
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40232-2172
Country	:	US
Telephone Number	:	502-896-8299
Fax Number	:

Provider Business Practice Location Address
First Line	:	3910 S DUPONT SQ
Second Line	:	SUITE A
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4615
Country	:	US
Telephone Number	:	502-896-8299
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ERIC XIA
Credential	:	M.D.
Telephone Number	:	812-948-5159

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	07/01/2020

Similar Medicare Providers

1104183953 — FIRST UROLOGY, PSC
Practice Location Address:

3920 S DUPONT SQ STE C
LOUISVILLE, KY
40207-4615

Practice Phone: 502-721-0116
Practice Fax: 812-282-4172

1679535702 — DIAGNOSTIC MEDICAL IMAGING ASSOCIATES, PSC.
Practice Location Address:

3900 DUPONT SQ S , SUITE B
LOUISVILLE, KY
40207-4615

Practice Phone: 502-584-0128
Practice Fax: 502-584-0149

1215999131 — DR. THOMAS J SPECH M.D.
Practice Location Address:

3910 S DUPONT SQ , SUITE A
LOUISVILLE, KY
40207-4615

Practice Phone: 502-896-8299
Practice Fax:

1346202264 — DR. ERIC LIANG XIA M.D.
Practice Location Address:

3910 S DUPONT SQ , SUITE A
LOUISVILLE, KY
40207-4615

Practice Phone: 502-896-8299
Practice Fax:

1477511921 — MORRIS B JACKSON MD
Practice Location Address:

3920 S DUPONT SQ STE C
LOUISVILLE, KY
40207-4615

Practice Phone: 812-282-3899
Practice Fax: 812-282-4172

1659389039 — DONNIE R. STACY M.D.
Practice Location Address:

3920 S DUPONT SQ
LOUISVILLE, KY
40207-4615

Practice Phone: 502-721-0116
Practice Fax: 812-285-6010

Directions to “COMMONWEALTH INFECTIOUS DISEASE PSC ” 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.