Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Eldercare Physician Services LLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1033535828

Genesis Eldercare Physician Services LLC is a Geriatric Medicine (Internal Medicine) Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2014.

Licensed in
KY
In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16605 Chestnut Glen Pl
Louisville, KY 40245
Phone: (410) 543-1957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 0858289.09 (KY)

Record details

NPI number1033535828
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesis Healthcare, LLC
Authorized official Eric Shapiro — Vice President · (410) 832-7790
NPI enumeratedMarch 17, 2014
Last updated in NPPESAugust 5, 2019
Mailing addressPo Box 62946, Baltimore, MD 21264-2946

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