# COMMUNITY MEDICAL ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801272414
- **Authorized official:** SHELLEY GAST (CREDENTIALING)
- **Authorized official phone:** (502) 272-5335

## Contact information

- **Practice address:** 4803 OLYMPIA PARK PLZ STE 1100, LOUISVILLE, KY 40241-3068
- **Practice address phone:** (502) 584-7525
- **Practice address fax:** (502) 584-6851
- **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 |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 1117387 | KY | Yes |

## Other

- **Enumeration date:** 08/05/2015
- **Last updated:** 09/21/2021