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Organization

PHYSICIANS IN EMERGENCY MEDICINE PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER D HUFFSTICKLER MD (PHYSICIAN PRESIDENT)
(502) 361-9900
Entity
Organization

Contact information

Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 587-4421
(502) 361-9947
Mailing address
5454 NEW CUT RD, STE 5, LOUISVILLE, KY 40214-4271
(502) 361-9900
(502) 361-9947

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
KY
207PS0010X
Sports Medicine (Emergency Medicine) Physician
KY
363A00000X
Physician Assistant
KY
363AM0700X
Medical Physician Assistant
KY
363L00000X
Nurse Practitioner
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000057678
ANTHEM OF KENTUCKY
01
029882600
FEDERAL BLACK LUNG
01
100025490A
MEDICAID
IN
01
1061406
PASSPORT
KY
05
65919789
KY
01
CN3684
RAILROAD MEDICARE
Enumeration date
01/17/2006
Last updated
04/04/2014
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