| Gim Of Kentucky Pllc | |
|
16605 Chestnut Glen Pl Louisville KY 40245-6121 | |
| (502) 709-0430 | |
| (502) 245-6651 |
| Full Name | Gim Of Kentucky Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16605 Chestnut Glen Pl, Louisville, Kentucky |
| Authorized Official Name and Position | Leon Everett Butler (OWNER) |
| Authorized Official Contact | 5024351739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gim Of Kentucky Pllc 16605 Chestnut Glen Pl Louisville KY 40245-6121 Ph: (502) 709-0430 | Gim Of Kentucky Pllc 16605 Chestnut Glen Pl Louisville KY 40245-6121 Ph: (502) 709-0430 |
| NPI Number | 1326411026 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 07/08/2024 |
| Medicare PECOS PAC ID | 5294036521 |
|---|---|
| Medicare Enrollment ID | O20151210001753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326411026 | NPI | - | NPPES |
| 7100374220 | Medicaid | KY | |
| 7100374230 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Jerry Michael Benfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437133121 PECOS PAC ID: 7315917556 Enrollment ID: I20040823000134 |
| Provider Name | Jackie Noland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700989258 PECOS PAC ID: 0749236297 Enrollment ID: I20050328000749 |
| Provider Name | Rondal E Goble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952321515 PECOS PAC ID: 4981643301 Enrollment ID: I20050426000735 |
| Provider Name | Arthur T Blanford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427042621 PECOS PAC ID: 8921026642 Enrollment ID: I20051110000489 |
| Provider Name | Lisa C Primm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053507798 PECOS PAC ID: 4183704414 Enrollment ID: I20071227000594 |
| Provider Name | Carolyn Hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255516969 PECOS PAC ID: 8426131533 Enrollment ID: I20080213000339 |
| Provider Name | Leon Everett Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689754822 PECOS PAC ID: 2961568365 Enrollment ID: I20090310000626 |
| Provider Name | Kitrina L Kearfott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033256110 PECOS PAC ID: 8224019914 Enrollment ID: I20090729000892 |
| Provider Name | Shandrika R Feitelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053613729 PECOS PAC ID: 5698956175 Enrollment ID: I20110217000350 |
| Provider Name | Deborah L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326367533 PECOS PAC ID: 3577747898 Enrollment ID: I20110412000362 |
| Provider Name | Katherine Louise Nauert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588956296 PECOS PAC ID: 3274703285 Enrollment ID: I20110831000227 |
| Provider Name | Andrea M Huey-fahas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730469784 PECOS PAC ID: 6901078443 Enrollment ID: I20111005000932 |
| Provider Name | Terry L Cable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508120502 PECOS PAC ID: 6800042201 Enrollment ID: I20120816000701 |
| Provider Name | Karla Marie Jarvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750634093 PECOS PAC ID: 4587815188 Enrollment ID: I20121107000639 |
| Provider Name | Shane T Napier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457655730 PECOS PAC ID: 5799937835 Enrollment ID: I20121218000322 |
| Provider Name | Amie Elisabeth Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528492998 PECOS PAC ID: 4486889946 Enrollment ID: I20131108001612 |
| Provider Name | Robbin Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780002329 PECOS PAC ID: 8729210984 Enrollment ID: I20140422002245 |
| Provider Name | Mark L Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154756294 PECOS PAC ID: 9436475704 Enrollment ID: I20150303002372 |
| Provider Name | Rohan Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649611674 PECOS PAC ID: 0143522557 Enrollment ID: I20151231000614 |
| Provider Name | Jolynn Gaither-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588021877 PECOS PAC ID: 9133423502 Enrollment ID: I20160204001148 |
| Provider Name | Jacklyn T Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699136929 PECOS PAC ID: 2860790367 Enrollment ID: I20160418000744 |
| Provider Name | Erica L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982157046 PECOS PAC ID: 7315234838 Enrollment ID: I20160928000257 |
| Provider Name | Makulah Schweiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487006987 PECOS PAC ID: 8224316609 Enrollment ID: I20161107000835 |
| Provider Name | Debra Smith |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1194885186 PECOS PAC ID: 0941589436 Enrollment ID: I20161128002640 |
| Provider Name | Judith A Anderson Sherman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427026178 PECOS PAC ID: 3678475910 Enrollment ID: I20170516001440 |
| Provider Name | Sarah Kathleen Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699299677 PECOS PAC ID: 9335413822 Enrollment ID: I20170921003310 |
| Provider Name | Angelique Marie Leist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053828145 PECOS PAC ID: 8022378405 Enrollment ID: I20180202001012 |
| Provider Name | Donald R Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669974119 PECOS PAC ID: 4183979412 Enrollment ID: I20180608002376 |
| Provider Name | Adam Tyler Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558859561 PECOS PAC ID: 8224389986 Enrollment ID: I20180919004325 |
| Provider Name | Kimberly Ann Lowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376033688 PECOS PAC ID: 4183963994 Enrollment ID: I20190221002438 |
| Provider Name | Abby Vomastic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730604851 PECOS PAC ID: 0244596070 Enrollment ID: I20190627002414 |
| Provider Name | Janna R. Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023504644 PECOS PAC ID: 4688005507 Enrollment ID: I20200509000063 |
| Provider Name | Alisia Trenise Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104436146 PECOS PAC ID: 5294140802 Enrollment ID: I20210211003499 |
| Provider Name | Chris Koebele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033505516 PECOS PAC ID: 8921314279 Enrollment ID: I20210226002568 |
| Provider Name | Denise Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427647783 PECOS PAC ID: 9931515038 Enrollment ID: I20210316001652 |
| Provider Name | Divya Narayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558672113 PECOS PAC ID: 1254554322 Enrollment ID: I20220210001554 |
| Provider Name | Crysta Joann Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457009169 PECOS PAC ID: 2365838984 Enrollment ID: I20220407002644 |
| Provider Name | Starr Padron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407580657 PECOS PAC ID: 1456734839 Enrollment ID: I20220817002915 |
Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15103 Chestnut Ridge Cir, Louisville, KY 40245 Phone: 502-742-9149 Fax: 502-896-7292 | |
Veloz Medical Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6911 Shepherdsville Rd, Louisville, KY 40219 Phone: 502-644-3076 | |
Kentucky Joint Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir Ste 310, Louisville, KY 40207 Phone: 502-771-5432 Fax: 502-771-5430 | |
Mobile Md Holdings Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9510 Ormsby Station Road, Suite 100b, Louisville, KY 40223 Phone: 502-253-4140 | |
Edina Torlak Md, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 Kresge Way Ste 302, Louisville, KY 40207 Phone: 502-893-7372 | |
Shirley J Meredith, Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 Kresge Way, Baptist East Wound Care Center, Louisville, KY 40207 Phone: 502-259-4470 Fax: 502-259-4471 | |
Infectious Disease Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Locust Creek Blvd, Louisville, KY 40245 Phone: 502-916-3130 Fax: 502-916-3230 |