Pearl Geriatrics And Palliative Medicine, Psc

LBN: Pearl Geriatrics And Palliative Medicine, Psc
Pearl Geriatrics And Palliative Medicine, Psc is an health care organization with primary practice located at 2202 Buechel Ave Ste 105 , Louisville KY 40218-2672. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. Pearl Geriatrics And Palliative Medicine, Psc can be contacted via phone (502) 456-0494, or through Omoruyi, Osawaru Jude via phone (502) 456-0494.

Contact Information

Primary practice address
2202 Buechel Ave Ste 105 Louisville KY 40218-2672
Phone: (502) 456-0494
Fax: (504) 456-0496
Website:
Map and Directions
Authorized official contact:
Name: Omoruyi, Osawaru Jude Doctor of Medicine (MD)
Phone: (502) 456-0494

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39870 Kentucky
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006777 Kentucky

Profile Details

NPI number 1376865972
LBN Legal business name Pearl Geriatrics And Palliative Medicine, Psc
DBA Doing business as
Authorized official Omoruyi, Osawaru Jude Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2010
Last updated Jan 29th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376865972 NPPES
Kentucky MEDICAID 7100159350
Kentucky MEDICAID 7100134680

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