SOUTH OLDHAM MEDICAL CLINIC PSC
NPI 1922142983
General Practice in Crestwood, KY

Active since February 16, 2007
6520 W HWY 22, CRESTWOOD, KY 40014(502) 241-8488(502) 241-7424 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Oldham Medical Clinic Psc NPPES

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

SOUTH OLDHAM MEDICAL CLINIC PSC (NPI 1922142983) is a healthcare organization registered as a general practice in Crestwood, Kentucky and active in the NPI registry since February 2007. The organization lists Ashor Alur, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1922142983
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTH OLDHAM MEDICAL CLINIC PSC
Location Address6520 W HWY 22Crestwood, KY 40014
Mailing Address6520 W Hwy 22Crestwood, KY 40014 · (502) 241-8488 · Fax (502) 241-7424
Fax(502) 241-7424
Organization SubpartNo
Authorized OfficialAshor AlurPhysician Owner · (502) 241-8488
Enumeration DateFebruary 16, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1922142983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in KY · 30373
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6520 W HWY 22, Crestwood, KY 40014

Other Identifiers 1

Medicaid64303738KY

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

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

Internal Medicine
6520 W HWY 22
CRESTWOOD, KY 40014

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 South Oldham Medical Clinic Psc's NPI number?

The NPI number for South Oldham Medical Clinic Psc is 1922142983. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is South Oldham Medical Clinic Psc located?

South Oldham Medical Clinic Psc is located at 6520 W Hwy 22, Crestwood, KY 40014. The listed phone number is (502) 241-8488.

What is South Oldham Medical Clinic Psc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for South Oldham Medical Clinic Psc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.