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NORTON CHILDREN'S MEDICAL GROUP LLC NPI 1013559921


NPI Information

NPI: 1013559921
Provider Name: NORTON CHILDREN'S MEDICAL GROUP, LLC

Doing Business As: NORTON CHILDREN'S DEVELOPMENT CENTER

Classification: Medical Genetics - 207SG0201X
Entity Type: Organization

Specialization: Clinical Genetics (M.D.)

Address:
4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY
ZIP 40241
Phone: (502) 272-5336
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NORTON CHILDREN'S MEDICAL GROUP, LLC is a clinical genetics (m.d.) medical genetics in Louisville, KY. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. NORTON CHILDREN'S MEDICAL GROUP, LLC NPI is 1013559921. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Norton Children's Development Center.

The provider's business location address is:

4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY
ZIP 40241-068
Phone: (502) 272-5336
Fax: (502) 272-5339

The provider's authorized official is Shelley Gast .
The authorized official title is Syst Vp Mngd Care & Payor Strat and has the following contact phone number (502) 272-5335.

The enumeration date for this NPI number is 10/11/2019 and was last updated on 9/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0200XNurse PractitionerPediatricsNo
2208000000XPediatricsNo
32080P0008XPediatricsNeurodevelopmental DisabilitiesNo
42080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
52080P0205XPediatricsPediatric EndocrinologyNo
6225X00000XOccupational TherapistNo
7225XP0200XOccupational TherapistPediatricsNo
8235Z00000XSpeech-Language PathologistNo
9103TB0200XPsychologistCognitive & BehavioralNo
10103TC2200XPsychologistClinical Child & AdolescentNo
111041C0700XSocial WorkerClinicalNo
12133V00000XDietitian, RegisteredNo
13133VN1006XDietitian, RegisteredNutrition, MetabolicNo
14170300000XGenetic Counselor, MSNo
15207SG0201XMedical GeneticsClinical Genetics (M.D.)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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