MEDICINE PLLC NPI 1003003351

Internal Medicine (Infectious Disease) in Louisville, KY

About MEDICINE PLLC

Medicine Pllc is a provider in Louisville, KY. The NPI number assigned to this provider is 1003003351. The practitioner's primary taxonomy code is Internal Medicine (207RI0200X). The provider is registered as an organization and their NPI record was last updated one year ago. Medicine Pllc operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003003351 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMEDICINE PLLC
Provider Location Address15103 CHESTNUT RIDGE CIR LOUISVILLE, KY 40245 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 890853 CHARLOTTE, NC 28289 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-01-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date01-06-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MEDICINE PLLC
15103 CHESTNUT RIDGE CIR
LOUISVILLE, KY
ZIP 40245
Phone: (502) 742-9149
Fax: (502) 896-7292
Get Directions

Mailing Address

MEDICINE PLLC
PO BOX 890853
CHARLOTTE, NC
ZIP 28289
Phone: (800) 605-5176
Fax: (937) 298-5596

Primary Taxonomy

Taxonomy Code207RI0200X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationInfectious Disease
Taxonomy DescriptionAn internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Authorized Official

Authorized Official Name JAWED NASIM M.D. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(502) 742-9149

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
DN66884MEDICARE PIN (08)KY
00495MEDICARE PIN (08)KY
255800MEDICARE PIN (08)IN
200906410AMEDICAID (05)IN
6435287500MEDICAID (05)KY

Map Location


MEDICINE PLLC address is 15103 CHESTNUT RIDGE CIR LOUISVILLE, KY 40245