Provider Demographics
NPI:1043283104
Name:CHOICE CARE ASSOCIATES, PSC
Entity type:Organization
Organization Name:CHOICE CARE ASSOCIATES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEVILLE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SARKARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-688-0900
Mailing Address - Street 1:1000 BRECKENRIDGE ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-0839
Mailing Address - Country:US
Mailing Address - Phone:270-688-0900
Mailing Address - Fax:207-926-7488
Practice Address - Street 1:1000 BRECKENRIDGE ST
Practice Address - Street 2:SUITE 400
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-0839
Practice Address - Country:US
Practice Address - Phone:270-688-0900
Practice Address - Fax:207-926-7488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY34069207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000317523OtherANTHEM BCBS
KY64340698Medicaid
KY0901701Medicare ID - Type Unspecified
KY000000317523OtherANTHEM BCBS