| Ultimate Md | |
|
125 Fairfax Ave Louisville KY 40207-4905 | |
| (502) 897-6568 | |
| (502) 890-3510 |
| Full Name | Ultimate Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 125 Fairfax Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Julie Schoenbaechler (CREDENTIALING SUPPORT) |
| Authorized Official Contact | 5022208437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Md 125 Fairfax Ave Louisville KY 40207-4905 Ph: (502) 897-6568 | Ultimate Md 125 Fairfax Ave Louisville KY 40207-4905 Ph: (502) 897-6568 |
| NPI Number | 1326561648 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8224302195 |
|---|---|
| Medicare Enrollment ID | O20170918000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326561648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25305 (Kentucky) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | William H Haney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538250147 PECOS PAC ID: 7113055096 Enrollment ID: I20101026001613 |
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 |