# COMMUNITY MEDICAL ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Norton Prevention & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467818450
- **Authorized official:** SHELLEY GAST (PRESIDENT)
- **Authorized official phone:** (502) 588-9490

## Contact information

- **Practice address:** 4803 OLYMPIA PARK PLZ STE 1100, LOUISVILLE, KY 40241-3068
- **Practice address phone:** (502) 588-9490
- **Practice address fax:** (502) 272-5339
- **Mailing address:** PO BOX 776351, CHICAGO, IL 60677-0202
- **Mailing address phone:** (502) 588-9490
- **Mailing address fax:** (502) 272-5339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | — | NULL | — |
| 103G00000X | Clinical Neuropsychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QR0207X | Mobile Mammography Clinic/Center | — | KY | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/07/2016
- **Last updated:** 04/03/2023