# COMMUNITY MEDICAL ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Norton Louisville Primary Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245312503
- **Authorized official:** MS. SHELLEY GAST (VP MANAGED CARE)
- **Authorized official phone:** (502) 588-9490

## Contact information

- **Practice address:** 720 W HILL ST, LOUISVILLE, KY 40208-2216
- **Practice address phone:** (502) 636-3164
- **Practice address fax:** (502) 634-3731
- **Mailing address:** PO BOX 776351, CHICAGO, IL 60677-6351
- **Mailing address phone:** (502) 588-9490
- **Mailing address fax:** (502) 272-5116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 09/21/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 31000409 | — | KY |