ACTIVATE HEALTHCARE - PARK PLAZA LOUISVILLE (NPI# 1730727421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730727421 |
| Entity Type | Organization |
| Organization Name | ACTIVATE HEALTHCARE - PARK PLAZA LOUISVILLE |
| Practice Address |
9720 Park Plaza Ave Unit 101 Louisville KY 40241-2289 |
| Mailing Address |
2010 N Damen Ave Chicago IL 60647-3284 |
| Practice Telephone | 5024105788 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | DEBRA GEIHSLER (PRINCIPAL) |
| Authorized Official Telephone | 7736973122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Activate Healthcare | Doing Business As Name - Organization |
| Street Address |
9720 PARK PLAZA AVE UNIT 101 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-2289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215185954 | Lauren Patricia Grant Herrmann | Family Medicine | 9720 Park Plaza Ave Unit 101, Louisville, KY 40241-2289 | 2008-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003325879 | Occupational Health Centers of Sw Pa | Clinic/Center | 10401 Linn Station Rd Ste 110, Louisville, KY 40223-3842 | 2017-09-25 |
| 1548623846 | Frank Harrell Md Pa | Clinic/Center | 312 S 4th St, Suite 700, Louisville, KY 40202-3021 | 2016-04-04 |
| 1154701761 | The Empire Usa Inc | Clinic/Center | 10300 Linn Station Rd, Suite 400, Louisville, KY 40223-3840 | 2015-06-09 |
| 1902225717 | P.t Health Center Inc. | Clinic/Center | 4814 Preston Hwy Ste 40, Louisville, KY 40213-2263 | 2014-04-08 |
| 1073936746 | Best Clinical Facility Inc | Clinic/Center | 3415 Bardstown Rd Ste 202, Louisville, KY 40218-4605 | 2014-01-30 |
| 1386067247 | Do Medical Consulting | Clinic/Center | 3415 Bardstown Rd Ste 200, Louisville, KY 40218-4605 | 2014-01-29 |
| 1841612041 | Pa Professional Center Inc | Clinic/Center | 4229 Bardstown Rd Ste 411, Louisville, KY 40218-3241 | 2014-01-08 |
| 1437587987 | Healthy Life Center Inc | Clinic/Center | 4229 Bardstown Rd Ste 320, Louisville, KY 40218-3281 | 2013-10-18 |
| 1609113406 | Cardinal Wellness Center | Clinic/Center | 7136 Preston Hwy, Louisville, KY 40219-2722 | 2013-01-14 |
| 1346505781 | Compassionate Care Center | Clinic/Center | 1124 Dillon Rd Ste 1, Louisville, CO 80027-1290 | 2012-07-11 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
Please comment or provide details below to improve the information on ACTIVATE HEALTHCARE - PARK PLAZA LOUISVILLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.