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Organization
COMMUNITY MEDICAL ASSOCIATES, INC.
Active
Organization
COMMUNITY MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY GAST (VP- MANAGED CARE)
(502) 588-9490
Entity
Organization
Contact information
Practice address
1951 BISHOP LN FL 4, LOUISVILLE, KY 40218-1923
(502) 588-9490
(502) 272-5339
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
170300000X
Genetic Counselor (M.S.)
—
KY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
2080S0010X
Pediatric Sports Medicine Physician
—
KY
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
KY
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65928301
—
KY
Enumeration date
05/21/2012
Last updated
01/16/2026
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