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PEARL GERIATRICS AND PALLIATIVE MEDICINE, PSC
NPI 1376865972
Internal Medicine - Geriatric Medicine in Louisville, KY

Active since February 23, 2010
2202 BUECHEL AVE STE 105, LOUISVILLE, KY 40218(502) 456-0494(504) 456-0496 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pearl Geriatrics And Palliative Medicine, Psc NPPES

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

PEARL GERIATRICS AND PALLIATIVE MEDICINE, PSC (NPI 1376865972) is a healthcare organization registered as a geriatric medicine in Louisville, Kentucky and active in the NPI registry since February 2010. The organization maintains a secondary practice location in Knoxville and lists Osawaru Jude Omoruyi, Owner, as its authorized official.

NPPES Registry Identity

NPI1376865972
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NamePEARL GERIATRICS AND PALLIATIVE MEDICINE, PSC
Location Address2202 BUECHEL AVE STE 105Louisville, KY 40218-2672
Mailing AddressPo Box 37188Louisville, KY 40233-7188 · (502) 456-0494 · Fax (502) 456-0496
Phone(502) 456-0494
Fax(504) 456-0496
Organization SubpartNo
Authorized OfficialOsawaru Jude OmoruyiOwner · (502) 456-0494
Enumeration DateFebruary 23, 2010
Last NPPES UpdateJanuary 29, 2021
NPPES CertifiedJanuary 29, 2021
✔ NPI 1376865972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedInternal MedicineTaxonomy 207R00000X · License 39870 (KY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3006777 (KY)
2202 BUECHEL AVE STE 105, Louisville, KY 40218
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Secondary Practice Location 1

Location 16512 Baum Dr Ste 4Knoxville, TN 37919-7333 · Phone (502) 456-0494 · Fax (502) 456-0496

Other Identifiers 2

Medicaid7100134680KY
Medicaid7100159350KY

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

Other Providers at the Same Location NPPES

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

PEARL MEDICAL PRACTICE PLLC
Clinic/Center (Primary Care)
2202 BUECHEL AVE STE 105
LOUISVILLE, KY 40218
Jefferson County (502) 456-0494

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 Pearl Geriatrics And Palliative Medicine, Psc's NPI number?

The NPI number for Pearl Geriatrics And Palliative Medicine, Psc is 1376865972. It was assigned to this organization in the NPPES registry on February 23, 2010.

Where is Pearl Geriatrics And Palliative Medicine, Psc located?

Pearl Geriatrics And Palliative Medicine, Psc is located at 2202 Buechel Ave Ste 105, Louisville, KY 40218. The listed phone number is (502) 456-0494.

What is Pearl Geriatrics And Palliative Medicine, Psc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Pearl Geriatrics And Palliative Medicine, Psc was last updated on January 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.