{"npi":"1306983762","type":"NPI-2","status":"active","name":{"display":"Community Medical Associates, Inc.","other":[],"organization_name":"COMMUNITY MEDICAL ASSOCIATES, INC.","authorised_official":"Shelley Gast"},"specialty":{"primary_taxonomy":"261QM1300X","primary_taxonomy_description":"Multi-Specialty Clinic/Center","slug":"multi-specialty-clinic-center","schema_org_specialty":null,"all":[{"code":"103G00000X","description":"Clinical Neuropsychologist","primary":false,"state":null,"license":null},{"code":"103TC0700X","description":"Clinical Psychologist","primary":false,"state":null,"license":null},{"code":"261Q00000X","description":"Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QU0200X","description":"Urgent Care","primary":false,"state":null,"license":null},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":null,"license":null},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":null,"license":null},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":null,"license":null},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"363LA2100X","description":"Acute Care Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"363LA2200X","description":"Adult Health Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"363LP0200X","description":"Nurse Practitioner, Pediatrics","primary":false,"state":null,"license":null},{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4803 OLYMPIA PARK PLZ STE 1100","city":"LOUISVILLE","state":"KY","postal_code":"402413068","country_code":"US","phone":"5025889490","fax":"5022725116"},{"purpose":"MAILING","street_1":"PO BOX 776351","city":"CHICAGO","state":"IL","postal_code":"606776351","country_code":"US","phone":"5025889490","fax":"5022725339"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1003882650","state":"IN","issuer":null},{"type_code":"05","label":"Medicaid","value":"65946279","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"65945693","state":"KY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20031120000656","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"KY","pac_id":"7012811284"}]},"enumeration_date":"2007-02-01","last_updated":"2023-04-03","_meta":{"source":"NPPES","snapshot_date":"2023-04-03","doc_url":"https://findmynpi.com/api"}}