MUSCULOSKELETAL ASSOCIATES PLLC - NPI 1477900629 - Neuromusculoskeletal Medicine & OMM in Louisville, KY

Q: What is the provider's specialty?

The provider's specialty is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

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About Musculoskeletal Associates Pllc NPPES

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

MUSCULOSKELETAL ASSOCIATES PLLC (NPI 1477900629) is a healthcare organization registered as a neuromusculoskeletal medicine & omm in Louisville, Kentucky and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Mark Conliffe, Owner, as its authorized official.

NPPES Registry Identity

NPI1477900629

Entity TypeOrganization

Primary Taxonomy204D00000X

Legal Business NameMUSCULOSKELETAL ASSOCIATES PLLC

Location Address506 EXECUTIVE PARKLouisville, KY 40207-4205

Mailing Address506 Executive ParkLouisville, KY 40207-4205 · (502) 822-6603 · Fax (502) 747-7071

Phone(502) 822-6603

Fax(502) 747-7071

Organization SubpartNo

Authorized OfficialMark ConliffeOwner · (502) 639-8722

Enumeration DateMay 18, 2016

Last NPPES UpdateSeptember 3, 20258 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1477900629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Also ListedPodiatristTaxonomy 213E00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedNurse PractitionerTaxonomy 363L00000X

506 EXECUTIVE PARK, Louisville, KY 40207

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Other Identifiers 4

Medicaid7100819670KY

Medicaid7100918830KY

Medicaid300075562IN

Medicaid7100816010KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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 18D2342333

Musculoskeletal Associates PLLC · Louisville, KY

Active · expires Apr 16, 2028

CLIA Number18D2342333

Laboratory TypePhysician Office

Certificate Effective DateApril 17, 2026

Certificate Expiration DateApril 16, 2028

Laboratory DirectorDr. Mark Conliffe

Laboratory Phone(502) 822-6603

Laboratory LocationMusculoskeletal Associates PLLC506 Executive Park, Louisville, KY 40207

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 7

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

MUSCULOSKELETAL ASSOCIATES PLLC

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