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

Pearl Geriatrics and Palliative Medicine, PSC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1376865972

Pearl Geriatrics and Palliative Medicine, PSC is a Geriatric Medicine (Family Medicine) Physician in Louisville, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2010
Specialties on file
4
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

2202 Buechel Ave Ste 105
Louisville, KY 40218-2672
Phone: (502) 456-0494
Fax: (504) 456-0496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6512 Baum Dr Ste 4, Knoxville, TN 37919-7333 — (502) 456-0494

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Internal Medicine Physician Taxonomy 207R00000X · Licence 39870 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3006777 (KY)

Record details

NPI number1376865972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Osawaru Omoruyi — Owner · (502) 456-0494
NPI enumeratedFebruary 23, 2010
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021
Mailing addressPo Box 37188, Louisville, KY 40233-7188

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