Provider Demographics
NPI:1780926279
Name:INSPIRED MEDICAL SERVICES, LLC
Entity type:Organization
Organization Name:INSPIRED MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:KARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-963-0487
Mailing Address - Street 1:513 CLUB LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-1406
Mailing Address - Country:US
Mailing Address - Phone:502-963-0487
Mailing Address - Fax:502-963-0488
Practice Address - Street 1:9805 BROWNSBORO RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-1125
Practice Address - Country:US
Practice Address - Phone:502-963-0487
Practice Address - Fax:502-963-0488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50051852OtherPASSPORT GROUP
IN201155660Medicaid
KY7100247710Medicaid
KY000000819782OtherANTHEM
ININ1433Medicare PIN
IN201155660Medicaid