| Norton Louisville Primary Care Center | |
|
720 W Hill St Louisville KY 40208-2216 | |
| (502) 636-3164 | |
| (502) 634-3731 |
| Full Name | Norton Louisville Primary Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 720 W Hill St, Louisville, Kentucky |
| Authorized Official Name and Position | Shelley Gast (VP MANAGED CARE) |
| Authorized Official Contact | 5025889490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norton Louisville Primary Care Center Po Box 776351 Chicago IL 60677-6351 Ph: (502) 588-9490 | Norton Louisville Primary Care Center 720 W Hill St Louisville KY 40208-2216 Ph: (502) 636-3164 |
| NPI Number | 1245312503 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 09/21/2021 |
| Certification Date | 09/21/2021 |
| Medicare PECOS PAC ID | 7517956527 |
|---|---|
| Medicare Enrollment ID | O20040506000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245312503 | NPI | - | NPPES |
| 31000409 | Medicaid | KY |
| Provider Name | Martin Chidubem Ozor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679637565 PECOS PAC ID: 1759489362 Enrollment ID: I20070605000622 |
| Provider Name | Marcella L Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295049930 PECOS PAC ID: 0345436333 Enrollment ID: I20101202000718 |
| Provider Name | Afshan Kashif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275739781 PECOS PAC ID: 4183813538 Enrollment ID: I20110115000011 |
| Provider Name | Faten Abdullah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467718049 PECOS PAC ID: 7416271291 Enrollment ID: I20150629000699 |
| Provider Name | Dominique M Rhynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245692961 PECOS PAC ID: 3375841547 Enrollment ID: I20160421000972 |
| Provider Name | Emmanuel Nwaogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447784764 PECOS PAC ID: 2961779186 Enrollment ID: I20170518001577 |
| Provider Name | Catherine L Stone Hahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962892125 PECOS PAC ID: 7012277338 Enrollment ID: I20180207000254 |
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