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UNIVERSITY PEDIATRIC ENDOCRINOLOGY LLC NPI 1417083437


NPI Information

NPI: 1417083437
Provider Name: UNIVERSITY PEDIATRIC ENDOCRINOLOGY, LLC
Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

Address:
210 E GRAY ST
STE 803
LOUISVILLE, KY
ZIP 40202
Phone: (502) 629-8821
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UNIVERSITY PEDIATRIC ENDOCRINOLOGY, LLC is a pediatric endocrinology pediatrics in Louisville, KY. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. UNIVERSITY PEDIATRIC ENDOCRINOLOGY, LLC NPI is 1417083437. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 E GRAY ST
STE 803
LOUISVILLE, KY
ZIP 40202-904
Phone: (502) 629-8821
Fax: (502) 629-8824

The provider's authorized official is Gerard P Rabalais .
The authorized official title is President and has the following contact phone number (502) 852-8560.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 12/29/2010.


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
1133V00000XDietitian, RegisteredNo
2363L00000XNurse PractitionerNo
3363LP0200XNurse PractitionerPediatricsNo
42080P0205XPediatricsPediatric EndocrinologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P100028969MEDICARE PINKENTUCKY
2200889620AMEDICAIDINDIANA
37100010410MEDICAIDKENTUCKY

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: 4/28/2024

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