Unknown Individual – Addiction Medicine (Internal Medicine) Physician, NPI 1679568232
Addiction Medicine (Internal Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
501, East Broadway, Louisville, Jefferson County, Kentucky, 40202, United States
#220
LOUISVILLE, KY 402021785
Phone: (502) 589-4856
Fax: (502) 589-5093
Type: Mailing
Heart Hospital, 201, Abraham Flexner Way, Louisville, Jefferson County, Kentucky, 40202, United States
#1001
LOUISVILLE, KY 402023841
Phone: (502) 589-6788
Fax: (502) 587-4146
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40202)
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