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UNIVERSITY PEDIATRIC GASTROENTEROLOGY LLC NPI 1568790277


NPI Information

NPI: 1568790277
Provider Name: UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC
Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
9700 PARK PLAZA AVENUE
SUITE 110
LOUISVILLE, KY
ZIP 40241
Phone: (502) 852-7670
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UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC is a pediatric gastroenterology pediatrics in Louisville, KY. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC NPI is 1568790277. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9700 PARK PLAZA AVENUE
SUITE 110
LOUISVILLE, KY
ZIP 40241-286
Phone: (502) 852-7670
Fax: (502) 852-7743

The provider's authorized official is Gerard P. Rabalais .
The authorized official title is Chairman and has the following contact phone number (502) 852-8600.

The enumeration date for this NPI number is 11/19/2009 and was last updated on 11/19/2009.


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
12080P0206XPediatricsPediatric GastroenterologyYes

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
100992MEDICARE PINKENTUCKY
2200945670MEDICAIDINDIANA
37100063520MEDICAIDKENTUCKY

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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