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UNIVERSITY PEDIATRIC ENDOCRINOLOGY LLC NPI 1740518463


NPI Information

NPI: 1740518463
Provider Name: UNIVERSITY PEDIATRIC ENDOCRINOLOGY, LLC
Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

CLIA Number: 18D1082232

Address:
9700 PARK PLAZA AVENUE
SUITE 110
LOUISVILLE, KY
ZIP 40241
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 1740518463. 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) 629-8821
Fax: (502) 629-8824

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 CLIA number assigned to this NPI record is 18D1082232 - physician office with a certificate type of Certificate of Compliance.

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
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
17100010410MEDICAIDKENTUCKY
200455MEDICARE PINKENTUCKY
3200889620MEDICAIDINDIANA

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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