Provider Type Icon

NORTON CHILDREN'S MEDICAL GROUP LLC NPI 1336771161


NPI Information

NPI: 1336771161
Provider Name: NORTON CHILDREN'S MEDICAL GROUP, LLC

Doing Business As: NORTON CHILDREN'S DERMATOLOGY

Classification: Dermatology - 207NP0225X
Entity Type: Organization

Specialization: Pediatric Dermatology

Address:
4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY
ZIP 40241
Phone: (502) 272-5134
Get Directions

NORTON CHILDREN'S MEDICAL GROUP, LLC is a pediatric dermatology dermatology in Louisville, KY. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. NORTON CHILDREN'S MEDICAL GROUP, LLC NPI is 1336771161. 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 Dermatology.

The provider's business location address is:

4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY
ZIP 40241-068
Phone: (502) 272-5134
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 2/10/2020 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
1207N00000XDermatologyNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4363LF0000XNurse PractitionerFamilyNo
5363LP0200XNurse PractitionerPediatricsNo
6207NP0225XDermatologyPediatric DermatologyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.