Provider Demographics
NPI:1982730081
Name:CODE, JAMES NICHOLAS II (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:NICHOLAS
Last Name:CODE
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:2700 STANLEY GAULT PKWY
Mailing Address - Street 2:STE 129
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-5176
Mailing Address - Country:US
Mailing Address - Phone:502-253-4917
Mailing Address - Fax:502-489-5751
Practice Address - Street 1:4003 KRESGE WAY
Practice Address - Street 2:SUITE 500
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4652
Practice Address - Country:US
Practice Address - Phone:502-897-1166
Practice Address - Fax:502-897-1461
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2020-12-02
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Provider Licenses
StateLicense IDTaxonomies
KY38541207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100019460Medicaid
KY50027678OtherPASSPORT
KY3770833000OtherPASSPORT ADVANTAGE
KY000000652542OtherANTHEM
KY0144605Medicare PIN