LOUISVILLE CARDIOLOGY MEDICAL GROUP, PSC
NPI 1508936261
Specialist in Louisville, KY

Q: What is Louisville Cardiology Medical Group, Psc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 09, 2006

3900 KRESGE WAY, SUITE 60, LOUISVILLE, KY 40207(502) 893-7710(502) 893-1391 Get Directions Write a Review

NPPES record last updated: March 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Louisville Cardiology Medical Group, Psc NPPES

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

LOUISVILLE CARDIOLOGY MEDICAL GROUP, PSC (NPI 1508936261) is a healthcare organization registered as a specialist in Louisville, Kentucky and active in the NPI registry since November 2006. The organization lists Rudolph F. Licandro, President, as its authorized official.

NPPES Registry Identity

NPI1508936261

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameLOUISVILLE CARDIOLOGY MEDICAL GROUP, PSC

Location Address3900 KRESGE WAY, SUITE 60Louisville, KY 40207-4660

Mailing Address3900 Kresge Way, Suite 60Louisville, KY 40207-4660 · (502) 893-7710 · Fax (502) 893-1391

Phone(502) 893-7710

Fax(502) 893-1391

Organization SubpartNo

Authorized OfficialRudolph F. LicandroPresident · (502) 893-7710

Enumeration DateNovember 9, 2006

Last NPPES UpdateMarch 18, 2010

✔ NPI 1508936261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed · KY

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3900 KRESGE WAY, Louisville, KY 40207

Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified4090KY · Group Provider Number

Medicaid65929820KY

Group Practice 1

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

Other Providers at the Same Location NPPES 20

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

LAUREN SIMEL LEWIS

Obstetrics & Gynecology

3900 KRESGE WAY, SUITE 30
LOUISVILLE, KY 40207

Jefferson County (502) 891-8700

UNIVERSITY OF LOUISVILLE REHABILITATION FACULTY GROUP, PLLC

Physical Medicine & Rehabilitation

3900 KRESGE WAY, STE #41
LOUISVILLE, KY 40207

Jefferson County (502) 899-3623

MRS. KRISTEN RAE HORD P.A.-C

Physician Assistant (Medical)

3900 KRESGE WAY, STE 30
LOUISVILLE, KY 40207

Jefferson County (502) 891-8700

CHELSEA FOWLER APRN

Nurse Practitioner (Family)

3900 KRESGE WAY
LOUISVILLE, KY 40207

Jefferson County (502) 259-4470

DR. GREGORY L PITTMAN MD

Psychiatry & Neurology (Neurology)

3900 KRESGE WAY, SUITE 56
LOUISVILLE, KY 40207

Jefferson County (502) 895-7265

WILLIAM C DILLON MD

Internal Medicine (Interventional Cardiology)

3900 KRESGE WAY, SUITE 60
LOUISVILLE, KY 40207

Jefferson County (502) 893-7710

FELIX ALBERT OLASH JR. M.D.

Internal Medicine

3900 KRESGE WAY, STE. 50
LOUISVILLE, KY 40207

Jefferson County (502) 897-1776

TARA S KAUFFMAN ARNP

Nurse Practitioner

3900 KRESGE WAY, SUITE 60
LOUISVILLE, KY 40207

Jefferson County (502) 893-7710

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 Louisville Cardiology Medical Group, Psc's NPI number?

The NPI number for Louisville Cardiology Medical Group, Psc is 1508936261. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Louisville Cardiology Medical Group, Psc located?

Louisville Cardiology Medical Group, Psc is located at 3900 Kresge Way Suite 60, Louisville, KY 40207. The listed phone number is (502) 893-7710.

What is Louisville Cardiology Medical Group, Psc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Louisville Cardiology Medical Group, Psc was last updated on March 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.