| Lee Specialty Clinic | |
|
4501 Louise Underwood Way Louisville KY 40216-3987 | |
| (502) 363-8421 | |
| Not Available |
| Full Name | Lee Specialty Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4501 Louise Underwood Way, Louisville, Kentucky |
| Authorized Official Name and Position | Jennifer Moore (ASSISTANT DIRECTOR) |
| Authorized Official Contact | 5027826117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Specialty Clinic 4501 Louise Underwood Way Louisville KY 40216-3987 Ph: (502) 363-8421 | Lee Specialty Clinic 4501 Louise Underwood Way Louisville KY 40216-3987 Ph: (502) 363-8421 |
| NPI Number | 1326467986 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 08/07/2024 |
| Medicare PECOS PAC ID | 0840180816 |
|---|---|
| Medicare Enrollment ID | O20150415002129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326467986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Paula R Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437231230 PECOS PAC ID: 2062308034 Enrollment ID: I20040226000001 |
| Provider Name | Alan R Gould |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1043229545 PECOS PAC ID: 2062304967 Enrollment ID: I20040409000005 |
| Provider Name | Vaughn M Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588733760 PECOS PAC ID: 6507930427 Enrollment ID: I20080811000214 |
| Provider Name | Brandon C Fowler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114223203 PECOS PAC ID: 8820272016 Enrollment ID: I20110413000248 |
| Provider Name | Lynzee N Cornell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396073649 PECOS PAC ID: 5294911756 Enrollment ID: I20110517000795 |
| Provider Name | John M Franklin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629193933 PECOS PAC ID: 3274665898 Enrollment ID: I20110701000127 |
| Provider Name | Ashima K Gupta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073509592 PECOS PAC ID: 8921100066 Enrollment ID: I20131003000109 |
| Provider Name | Sri Prakash L Mokshagundam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033156328 PECOS PAC ID: 1254439888 Enrollment ID: I20150107001712 |
| Provider Name | Heather J Bass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336397207 PECOS PAC ID: 3274851050 Enrollment ID: I20150407000635 |
| Provider Name | Kristin Compton |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144491325 PECOS PAC ID: 6002134301 Enrollment ID: I20150417000186 |
| Provider Name | Len Coughlin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932515814 PECOS PAC ID: 4082933593 Enrollment ID: I20150505002362 |
| Provider Name | Philip Bess May |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932136892 PECOS PAC ID: 5890982631 Enrollment ID: I20150526000505 |
| Provider Name | Jennifer Lynn Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235511072 PECOS PAC ID: 1759693500 Enrollment ID: I20150707003377 |
| Provider Name | Camila Digiorgio |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104292283 PECOS PAC ID: 4981910916 Enrollment ID: I20150911001125 |
| Provider Name | Valerie Keenan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093029555 PECOS PAC ID: 0749599454 Enrollment ID: I20151020002610 |
| Provider Name | Sarah Clement |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841668191 PECOS PAC ID: 6800106642 Enrollment ID: I20151109000184 |
| Provider Name | Allison Roe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629485388 PECOS PAC ID: 4082912811 Enrollment ID: I20160412001818 |
| Provider Name | Sondra K Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336512680 PECOS PAC ID: 7214235506 Enrollment ID: I20160420000990 |
| Provider Name | Matthew D Adamkin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659632271 PECOS PAC ID: 2961641261 Enrollment ID: I20160622002790 |
| Provider Name | Patrick Swanson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891900577 PECOS PAC ID: 1951571264 Enrollment ID: I20170419001192 |
| Provider Name | Denise Carden |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750760880 PECOS PAC ID: 5294095964 Enrollment ID: I20180129002349 |
| Provider Name | Mary Jo Scannell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710343892 PECOS PAC ID: 2860755097 Enrollment ID: I20180420001456 |
| Provider Name | Cassandra Moore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275198574 PECOS PAC ID: 8224365531 Enrollment ID: I20190808004148 |
| Provider Name | Kevin Swartz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588209043 PECOS PAC ID: 6608205208 Enrollment ID: I20200402001789 |
| Provider Name | Terri Lykins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255848529 PECOS PAC ID: 9335534411 Enrollment ID: I20220328002491 |
| Provider Name | Alexandra Rose Oney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831750751 PECOS PAC ID: 7214381284 Enrollment ID: I20230925001804 |
| Provider Name | Amanda Michelle Crask |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326743188 PECOS PAC ID: 2769836493 Enrollment ID: I20230928001156 |
| Provider Name | Nathan A Tragesser |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1669102604 PECOS PAC ID: 9234512773 Enrollment ID: I20240227001917 |
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 |