| Zenith Medical Group, LLC | |
|
3924 S Dupont Sq Ste D Louisville KY 40207-5912 | |
| (502) 415-8349 | |
| Not Available |
| Full Name | Zenith Medical Group, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3924 S Dupont Sq Ste D, Louisville, Kentucky |
| Authorized Official Name and Position | Sabina Sisic (APRN) |
| Authorized Official Contact | 5024158349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zenith Medical Group, LLC 3924 S Dupont Sq Ste D Louisville KY 40207-5912 Ph: (502) 415-8349 | Zenith Medical Group, LLC 3924 S Dupont Sq Ste D Louisville KY 40207-5912 Ph: (502) 415-8349 |
| NPI Number | 1770338824 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 1254868938 |
|---|---|
| Medicare Enrollment ID | O20241218004089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770338824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Sabina Sisic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700370491 PECOS PAC ID: 6709133002 Enrollment ID: I20180810000909 |
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