EAST END PRIMARY CARE PLLC
NPI 1457418832
Non-Pharmacy Dispensing Site in Louisville, KY

Active since January 03, 2007
907 LYNDON LN, LOUISVILLE, KY 40222(502) 412-1904(502) 412-1905 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Non-Pharmacy Dispensing Site

About EAST END PRIMARY CARE PLLC

This page provides the complete NPI Profile along with additional information for East End Primary Care Pllc, a provider established in Louisville, Kentucky operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1457418832 assigned on January 2007. The practitioner's primary taxonomy code is 332900000X with license number 31527 (KY). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as East End Primary Care Pllc. The authorized official of this NPI record is Ravi Gill (Owner)

NPI
1457418832 Verify this NPI
Provider Legal Name
RAVI S GILL MD
Other Organization Name
EAST END PRIMARY CARE PLLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
907 LYNDON LN LOUISVILLE, KY 40222
Location Phone
(502) 412-1904
Location Fax
(502) 412-1905
Mailing Address
907 LYNDON LN LOUISVILLE, KY 40222
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2007
Last Update Date
06-17-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
31527
License State
KY
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RAVI GILL

Authorized Official Title
OWNER
Authorized Official Phone
(502) 412-1904

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
64315278MEDICAID (05)KY 
1829196OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER
0961701MEDICARE ID-TYPE UNSPECIFIED (04) 

Reviews for EAST END PRIMARY CARE PLLC

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Dietitian, Registered
907 LYNDON LN
LOUISVILLE, KY 40222
Nurse Practitioner (Family)
907 LYNDON LN
LOUISVILLE, KY 40222
Behavior Technician
907 LYNDON LN
LOUISVILLE, KY 40222
Behavior Technician
907 LYNDON LN
LOUISVILLE, KY 40222
Behavior Analyst
907 LYNDON LN
LOUISVILLE, KY 40222
Behavior Analyst
907 LYNDON LN
LOUISVILLE, KY 40222
Behavior Analyst
907 LYNDON LN
LOUISVILLE, KY 40222
Speech-Language Pathologist
907 LYNDON LN
LOUISVILLE, KY 40222
Behavior Analyst
907 LYNDON LN
LOUISVILLE, KY 40222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457418832, enumerated as an "organization" on January 03, 2007.

The provider is located at 907 LYNDON LN LOUISVILLE, KY 40222 and the phone number is (502) 412-1904.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.