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CENTERWELL SENIOR PRIMARY CARE- SOUTH 2ND
NPI 1376282038
Internal Medicine in Louisville, KY

Active since June 01, 2022CLIA 18D2263132 · Waiver
3151 S 2ND ST, LOUISVILLE, KY 40208(502) 632-9313(877) 687-5190 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2024, Oct 31, 2022, Oct 7, 2022 (3 updates tracked since 2022).

About Centerwell Senior Primary Care- South 2nd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERWELL SENIOR PRIMARY CARE- SOUTH 2ND (NPI 1376282038) is a healthcare organization registered as an internal medicine in Louisville, Kentucky and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through June 22, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1376282038
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE KY PSC
Location Address3151 S 2ND STLouisville, KY 40208-1446
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(502) 632-9313
Fax(877) 687-5190
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateJune 1, 2022
Last NPPES UpdateAugust 22, 20243 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1376282038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
3151 S 2ND ST, Louisville, KY 40208
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care- South 2nd

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2263132

Centerwell Senior Primary Care - South 2nd · Louisville, KY
Active · expires Jun 22, 2028
CLIA Number18D2263132
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorDr. Erica Savage-Jeter
Laboratory Phone(502) 632-9313
Laboratory LocationCenterwell Senior Primary Care - South 2nd3151 S 2nd Street, Louisville, KY 40208
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JORDAN LAFERTY MD
Internal Medicine
3151 S 2ND ST
LOUISVILLE, KY 40208
Jefferson County (502) 632-9313
DANA RENEE SINGLETARY APRN
Nurse Practitioner (Family)
3151 S 2ND ST
LOUISVILLE, KY 40208
Jefferson County (502) 632-9313
ALLISON L HILL MD
Internal Medicine
3151 S 2ND ST
LOUISVILLE, KY 40208
Jefferson County (502) 632-9313
MICHAEL W NEWKIRK M.D.
Family Medicine
3151 S 2ND ST
LOUISVILLE, KY 40208
Jefferson County (502) 632-9313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centerwell Senior Primary Care Ky Psc's NPI number?

The NPI number for Centerwell Senior Primary Care Ky Psc is 1376282038. It was assigned to this organization in the NPPES registry on June 1, 2022. The provider is doing business as Centerwell Senior Primary Care- South 2nd.

Where is Centerwell Senior Primary Care Ky Psc located?

Centerwell Senior Primary Care Ky Psc is located at 3151 S 2nd St, Louisville, KY 40208. The listed phone number is (502) 632-9313.

What is Centerwell Senior Primary Care Ky Psc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care Ky Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2263132) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Ky Psc was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.