Javier Rodriguez, AG-ACNP | |
2523 Wendell Ave, Louisville, KY 40205-3011 | |
(615) 438-4193 | |
Not Available |
Full Name | Javier Rodriguez |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 2523 Wendell Ave, Louisville, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194198606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 20532 (Tennessee) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 3009896 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Norton Hospitals, Inc | Louisville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Norton Hospitals Inc | 9830001528 | 102 |
Entity Name | Community Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Entity Name | Norton Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073568879 PECOS PAC ID: 9830001528 Enrollment ID: O20031125000524 |
Mailing Address | Practice Location Address |
---|---|
Javier Rodriguez, AG-ACNP 2523 Wendell Ave, Louisville, KY 40205-3011 Ph: (615) 438-4193 | Javier Rodriguez, AG-ACNP 2523 Wendell Ave, Louisville, KY 40205-3011 Ph: (615) 438-4193 |
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