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NORTON CHILDREN'S MEDICAL GROUP LLC NPI 1972144590


NPI Information

NPI: 1972144590
Provider Name: NORTON CHILDREN'S MEDICAL GROUP, LLC

Doing Business As: NORTON CHILDREN'S ALLERGY AND IMMUNOLOGY

Classification: Pediatrics - 2080P0201X
Entity Type: Organization

Specialization: Pediatric Allergy/Immunology

Address:
4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY
ZIP 40241
Phone: (502) 588-9490
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NORTON CHILDREN'S MEDICAL GROUP, LLC is a pediatric allergy/immunology pediatrics in Louisville, KY. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. NORTON CHILDREN'S MEDICAL GROUP, LLC NPI is 1972144590. 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 Allergy And Immunology.

The provider's business location address is:

4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY
ZIP 40241-068
Phone: (502) 588-9490
Fax: (502) 272-5339

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

The enumeration date for this NPI number is 10/4/2019 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
1208000000XPediatricsNo
2207K00000XAllergy & ImmunologyNo
3363A00000XPhysician AssistantNo
4363AM0700XPhysician AssistantMedicalNo
5363AS0400XPhysician AssistantSurgicalNo
6363L00000XNurse PractitionerNo
7363LP0200XNurse PractitionerPediatricsNo
82080P0201XPediatricsPediatric Allergy/ImmunologyYes

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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