MEDICARE: CYPRESS MEDICAL ASSOCIATES, PSC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	208000000X	Pediatrics Physician
2	363A00000X	Physician Assistant
3	363L00000X	Nurse Practitioner
4	207R00000X	Internal Medicine Physician	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	:	1952300071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYPRESS MEDICAL ASSOCIATES, PSC

Provider Business Mailing Address
First Line	:	2500 W BROADWAY
Second Line	:	SUITE 200
City	:	LOUISVILLE
State	:	KY
Zip	:	40211-1081
Country	:	US
Telephone Number	:	502-774-6100
Fax Number	:	502-774-6157

Provider Business Practice Location Address
First Line	:	3430 NEWBURG RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-2497
Country	:	US
Telephone Number	:	502-774-6100
Fax Number	:	502-774-6135

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANTHONY REMSON
Credential	:	MD
Telephone Number	:	502-454-8700

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	07/21/2022

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Directions to “CYPRESS MEDICAL ASSOCIATES, PSC ” Practice Location

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