Jorge Luis Rodriguez, MD | |
1000 Dupont Rd, Suite A, Louisville, KY 40207-4611 | |
(502) 899-6150 | |
(502) 891-6368 |
Full Name | Jorge Luis Rodriguez |
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Gender | Male |
Speciality | Surgery |
Location | 1000 Dupont Rd, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023088911 | NPI | - | NPPES |
100386510 | Medicaid | IN | |
64042906 | Medicaid | KY | |
1153806 | Other | KY | PASSPORT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 23096 (Kentucky) | Primary |
2086S0102X | Surgery - Surgical Critical Care | 23096 (Kentucky) | Secondary |
Entity Name | Community Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Mailing Address | Practice Location Address |
---|---|
Jorge Luis Rodriguez, MD Po Box 950202, Louisville, KY 40295-0202 Ph: (502) 588-9490 | Jorge Luis Rodriguez, MD 1000 Dupont Rd, Suite A, Louisville, KY 40207-4611 Ph: (502) 899-6150 |
Dr. Siddharth Pahwa, Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202 Phone: 502-588-7600 | |
Tarek El-gammal Yousif, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 225 Abraham Flexner Way Ste 850, Louisville, KY 40202 Phone: 502-562-0312 | |
Dr. Martha Trimble Mccoy, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 201 Abraham Flexner Way, Ste 902, Louisville, KY 40202 Phone: 502-583-5945 Fax: 502-583-1804 | |
Dr. Salem Michael George Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4003 Kresge Way, Suite 300, Louisville, KY 40207 Phone: 502-897-5139 Fax: 502-896-6218 | |
Dr. John N Olsofka, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4402 Churchman Ave, Ste 202, Louisville, KY 40215 Phone: 502-366-1090 Fax: 502-366-1564 | |
Dr. Jarrod Alexander Little, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St, Suite 710, Louisville, KY 40202 Phone: 502-583-8303 Fax: 502-584-0302 |