Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Louisville Patient Centered Medical Home, PSC

Organization Family Medicine Physician · NPI 1265604763

Louisville Patient Centered Medical Home, PSC provides Family Medicine Physician services in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2008.

Licensed in
KY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4010 Dupont Cir Ste 308
Louisville, KY 40207-4812 Not confirmed with CMS for 12 years — call before visiting
Phone: (502) 896-8041
Fax: (502) 896-8044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 18988 (KY)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 18988 (KY)

Record details

NPI number1265604763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Charasika — President/Ceo · (502) 896-8041
NPI enumeratedMarch 25, 2008
Last updated in NPPESDecember 27, 2013
Mailing address4010 Dupont Cir, Suite 308, Louisville, KY 40207-4812

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