Wall Street Medical Group
LBN: Louisville Geriatric Associates
Wall Street Medical Group is an health care organization with primary practice located at 443 Spring St Ste 200 , Jeffersonville IN 47130-4494. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Louisville Geriatric Associates can be contacted via phone (812) 288-8360, or through Masroor, Muhammad I via phone (812) 288-8360.
Contact Information
Primary practice address
443 Spring St Ste 200
Jeffersonville IN 47130-4494
Phone: (812) 288-8360
Fax: (812) 288-8375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X |
Profile Details
| NPI number | 1922337617 |
|---|---|
| LBN Legal business name | Louisville Geriatric Associates |
| DBA Doing business as | Wall Street Medical Group |
| Authorized official | Masroor, Muhammad I |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 9th, 2009 |
| Last updated | Jul 17th, 2024 - about 4 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922337617 | NPPES |
| Indiana | MEDICAID | 300025251 |
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