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

Louisville Patient Centered Medical Home, PSC

Organization Family Medicine Physician · NPI 1265604763

Louisville Patient Centered Medical Home, PSC is a Family Medicine Physician 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
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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